目的：系统评价机器人辅助肺癌手术患者术后并发症发生率。方法：检索中国知网、万方、维普、中国生物医学文献 数据库、PubMed、The Cochrane Library、Embase 和 Web of Science 数据库中关于机器人辅助肺癌手术患者术后并发症的相关 研究。由 2 位专业研究者根据纳入与排除标准对研究进行筛选，并运用纽卡斯尔 - 渥太华量表（NOS）对选定的文献进行质 量评估。利用 Stata 14.0 软件对数据进行 Meta 分析。结果：最终纳入 19 篇文献，包含 4018 例研究对象。Meta 分析结果表明， 机器人辅助肺癌手术术后并发症的总发生率为 18%（95%CI：7%~30%）；肺漏气发生率为 9%（95%CI：6%~12%）；肺部 感染发生率为 4%（95%CI：3%~5%）；肺不张发生率为 2%（95%CI：2%~3%）；心律失常发生率为 3%（95%CI：1%~6%）； 其他并发症发生率为 4%（95%CI：2%~7%）。结论：机器人辅助肺癌手术术后患者的并发症发生率较低，疗效较好，适合 临床推广应用。

Objective: To systematically evaluate the incidence of postoperative complications in patients undergoing robot-assisted lung cancer surgery. Methods: Relevant studies on postoperative complications following robot-assisted lung cancer surgery were retrieved from databases including CNKI, Wanfang Data, VIP, CBMdisc, PubMed, The Cochrane Library, Embase, and Web of Science. 2 researchers independently screened the studies based on inclusion and exclusion criteria, and the quality of selected literature were assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis was performed using Stata 14.0 software. Results: A total of 19 studies involving 4 018 participants were included. Meta-analysis revealed that the overall incidence of postoperative complications after robotassisted lung cancer surgery was 18% (95%CI: 7%-30%). Specific complications included: air leakage 9%(95%CI: 6%-12%), pulmonary infection 4%(95% CI: 3%-5%), atelectasis 2%(95%CI: 2%-3%), arrhythmia 3%( 95%CI: 1%-6%), and other complications 4%(95%CI: 2%-7%). Conclusion: Robot-assisted lung cancer surgery is associated with a low incidence of postoperative complications and favorable efficacy, which is worthy of clinical application and promotion.

基金项目：直觉基金会项目（ZHY2023-213）；四川省干部保健科研项目（川干研 2022-801） 

Foundation Item: Project of Intuitive Foundation(ZHY2023-213); Sichuan Provincial Cadre Health Research Project (2022-801) 引用格式：吕俊，卢秀英，蒋红梅，等 . 机器人辅助肺癌手术术后并发症单组率的 Meta 分析 [J]. 机器人外科学杂志（中英文），2025，6（5）： 839-846. 

Citation: LYU J, LU X Y, JIANG H M, et al. Postoperative complications in robot-assisted lung cancer surgery: a single-arm Metaanalysis[J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 839-846. 

通讯作者（Corresponding Author）：卢秀英（LU Xiuying），Email：1185472064@qq.com

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