目的：探讨第四代达芬奇机器人 Xi 系统辅助腹腔镜下前列腺癌根治性切除手术采取改良仰卧位的优势。方法：选取 2019 年 12 月—2021 年 1 月在贵州省人民医院接受达芬奇机器人 Xi 系统辅助腹腔镜下前列腺癌根治性切除手术的 90 例患者为研究对象，按手术顺序随机将研究对象分为三组，分别为对照组 A、对照组 B 和观 察组 C，每组各 30 例。对照组 A 采取常规头低脚高截石位，对照组 B 采用头低脚高“人”字形体位，观察组 C 采用改良仰卧位。比较三组手术体位摆放用时、手术用时、术中失血量及术中并发症的发生率。结果：所有手术均顺利完成，手术用时、术中失血量及相关术中并发症的发生率差异无统计学意义（P>0.05）。但采用设计改良仰卧体位摆放时间较常规采取截石位与“人”字形体位短（P<0.05）。结论：达芬奇手术机器人 Xi 系统辅助腹腔镜下前列腺癌根治性切除术中采用改良仰卧位，能够缓解常规体位拆卸托腿架带来的体力消耗，缩短摆放体位时间，预防常规体位术中可能带来的压力性损伤与术中并发症，值得推广。

Objective: To explore the advantages of modified supine position in laparoscopic radical prostatectomy assisted by Da Vinci Xi surgical system. Methods: 90 patients who underwent laparoscopic radical prostatectomy assisted by Da Vinci Xi surgical system in Guizhou Provincial People’s Hospital from December 2019 to January 2021 were selected. 90 patients were randomly divided into control group A, control group B and observation group C based on their surgical sequences, with 30 cases in each group. Routine lithotomy-trendelenburg position were adopted in the control group A, split-leg position in the control group B, and the modified supine position in the observation group C. The positioning time, operating time, intraoperative blood loss and incidence of intraoperative complications of the three groups were compared. Results: All the surgeries were successfully completed. No significant difference on operation time, intraoperative blood loss and the incidence of related intraoperative complications were found (P>0.05). However, the positioning time of the modified supine position was shorter than that of the conventional lithotomy position and split-leg position (P<0.05). Conclusion: The modified supine position in laparoscopic radical resection of prostate cancer assisted by Da Vinci Xi surgical system could decrease the physical output caused by the removal of leg support in conventional position, shorten the positioning time, and prevent the possible pressure injury and intraoperative complications in conventional position, which is worth of popularization.

收稿日期：2020-09-10  录用日期：2021-11-29 

Received Date: 2020-09-10  Accepted Date: 2021-11-29 

基金项目：贵州省科技计划项目（[2019]4448） 

Foundation Item: Science and Technology Program of Guizhou Province（[2019]4448） 

通讯作者：申兵，Email：307011674@qq.com 

Corresponding Author: SHEN Bing, Email: 307011674@qq.com 

引用格式：孙大鹏，申兵，乔芳芳，等 . 机器人辅助腹腔镜下前列腺癌根治性切除术改良仰卧位与常规体位的对照研究 [J]. 机器人外科学杂志（中英文），2022，3（2）：115-119.

Citation: SUN D P, SHEN B, QIAO F F, et al. Comparative study of modified supine position and conventional position in robotassisted laparoscopic radical prostatectomy [J]. Chinese Journal of Robotic Surgery, 2022, 3(2): 115-119.

[1] 罗敏 . 达芬奇机器人辅助腹腔镜前列腺癌根治术手体位的优化 [J]. 中华腔镜泌尿外科杂志 , 2020, 4(16): 41-47. 

[2] 谭炳山 , 郭东华 , 汤联 . 机器人辅助腹腔镜根治性前列腺切除手术两种体位摆放的对照研究 [J]. 护士进修杂志 , 2019, 6(10): 10-32. 

[3] 沈周俊 . 机器人外科手术系统辅助腹腔镜在膀胱及前列腺手术中的优势 [J]. 上海医学 , 2010, 11(2): 40-43. 

[4] 王蓉 . 快速康复外科干预对达芬奇机器人辅助腹腔镜前列腺癌根治术患者康复效果的影响分析 [J]. 中国医学前沿杂志 , 2020, 3(25): 17-25. 

[5] 汤联 . 达芬奇机器人腹腔镜下前列腺癌根治术患者的围手术期整体护理 [J]. 当代护士 , 2018, 8(29): 26-30. 

[6] WANG J, GUO X Z, WU Y Z. The application of Robocare nursing model in the whole nursing care of Da Vinci robotassisted laparoscopic radical cancer surgery[J]. Asian Journal of Surgery, 2021, 4(10): 667-669.

[7] Koga H, Takanori O. Hepaticojejunostomy for choledochal cyst in children[J]. Journal of Pediatric Endoscopic Surgery, 2021, 2(7): 1-3. 

[8] DUAN J S, SUN T, GE S L. A case of abdominal bleeding after mitral valvuloplasty assisted by da Vinci robotic surgery[J].Journal of Cardiac Surgery, 2020, 10(2): 683-685. 

[9] Johnson B A. High-fidelity model for urethrovesical anastomosis in radical prostatectomy[J]. Journal of Endourology, 2019, 4(8): 331-336. 

[10] WANG Y, MENG D, SUN X X. A prospective study of da vinci surgical robotic system with chest wall external nursing interventions[J]. Chinese Journal of Lung Cancer, 2020, 6(22): 487-491.