比较标准四孔与改良单操作孔达芬奇机器人手术在肺癌根治术中的近期疗效，探索改良单操作 孔达芬奇机器人肺癌根治术的可行性与安全性。方法：回顾性分析贵黔国际总医院胸心外科 2019 年 12 月—2021 年 10 月接受达芬奇机器人肺癌根治术的 74 例患者的临床资料，根据切口选择的不同分为标准四孔组（共 38 例，2019 年 12 月 3日—2021 年 4 月 8日完成手术）和改良单操作孔组（共 36 例，2021 年 4 月 16 日—2021 年 10 月 26 日完成手术）。 比较两组患者达芬奇机器人系统的装机时间、手术时间、术中出血量、淋巴结清扫数量、术后引流量、胸管留置时间、 术后并发症、肋骨骨折发生率、出院时疼痛评分、出院时间等指标。结果：两组患者均无中转开胸及围手术期死亡 病例。两组患者手术时间、术中出血量、淋巴结清扫数量、胸管留置时间、并发症发生情况、术后出院时间比较， 差异无统计学意义（P>0.05）。而改良单操作孔组与标准四孔组比较，术后总引流量少、装机时间短、肋骨骨折发 生率和出院时疼痛评分较低，差异有统计学意义（P<0.05）。结论：改良单操作孔达芬奇机器人肺癌根治术是安全、 可行的，其较标准四孔达芬奇机器人肺癌根治术具有一定的优势。

To compare the short-term postoperative outcomes of radical lobectomy in lung cancer under standardized four-port Vs modified single-port Da Vinci robot-assisted surgery and explore the feasibility and safety of modified single-port Da Vinci robot-assisted lobectomy. Methods: The clinical data of 74 patients underwent Da Vinci robot-assisted lobectomy for lung cancer from December 2019 to October 2021 were collected. All the patients were divided into standardized four-port group (completed from December 3, 2019 to April 8, 2021, 38 cases) and modified single-port group (completed from April 16, 2021 to October 26, 2021, 36 cases) based on different incisions. The docking time, operation time, intraoperative bleeding, lymph node dissection, postoperative drainage volume, chest tube duration, postoperative complications, incidence of rib fracture, pain score and hospital stay of the two groups were compared. Results: There were no conversion to open surgery or perioperative death in both groups. No significant differences on operation time, intraoperative bleeding, lymph node dissection, chest tube duration, postoperative complications and hospitalization stay after surgery were found between the two groups (P>0.05). Comparing with the four-port group, the modified single-port group had shorter docking time, less postoperative drainage volume, lower incidence of rib fracture and pain score (P<0.05). Conclusion: The modified single-port Da Vinci robot-assisted lobectomy for lung cancer is safe and feasible, which has certain advantages over the standardized four-port approach.

收稿日期：2021-12-27  录用日期：2022-03-07 

Received Date: 2021-12-27  Accepted Date: 2022-03-07 

通讯作者：杨康，Email：yangkangmh@126.com

Corresponding Author: YANG Kang, Email: yangkangmh@126.com 

引用格式：蒋彬，熊刚，魏巍，等 . 标准四孔与改良单操作孔达芬奇机器人手术在肺癌根治术中的近期疗效比较 [J]. 机器人外科学 杂志（中英文），2022，3（6）：435-441.

Citation: JIANG B, XIONG G, WEI W, et al. Short-term outcomes of radical resection of lung cancer under standardized fourport Vs modified single-port Da Vinci robot-assisted surgery [J]. Chinese Journal of Robotic Surgery, 2022, 3(6): 435-441.

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