目的：探究影响机器人肺癌手术患者术后加速康复的危险因素。方法：收集 2014~2019 年在浙江大学医学院附属第一医院普胸外科行机器人手术的肺癌患者的临床资料，根据患者住院时间将接受机器人手术的肺癌患者分成加速康复组和常规康复组。采用 Logistic 回归分析影响术后加速康复的危险因素。结果：除年龄外，两组患者基线资料差异无统计学意义。Logistic 回归分析结果提示，年龄是肺癌患者行机器人手术后加速康复的重要影响因素。随着年龄不断增加，肺癌患者在机器人手术后的住院时间呈显著的上升趋势。结论：年龄是肺癌患者行机器人手术后加速康复的危险因素。

Objective: To explore risk factors that influence the postoperative recovery of patients after robotic surgery for lung cancer. Methods: The clinical data of patients with lung cancer who underwent robotic surgery from 2014 to 2019 in the department of Thoracic Surgery, the First Affiliated Hospital of Zhejiang University Medical College were collected. Patients were divided into accelerate rehabilitation group and conventional rehabilitation group based on hospitalization time. Factors that affect the enhanced recovery after surgery were analyzed retrospectively with logistic regression analysis. Results: No significant difference was found on the baseline data except for age. And the result of logistic regression model showed that age was an important factor that affect enhanced recovery after robotic surgery for lung cancer patients. The length of hospital stay for lung cancer patients after robotic surgery would increase significantly with age. Conclusion: Age is the risk factor influencing enhanced recovery after robotic surgery for patients with lung cancer.

收稿日期：2021-02-18  录用日期：2021-07-24

Received Date: 2021-02-18  Accepted Date: 2021-07-24

基金项目：国家重点研发计划（2017YFC0113500）；浙江省重大科技专项计划项目（2020C03058）；浙江省肺部肿瘤诊治技术研究中心（JBZX-202007）；浙江省医药卫生科技计划（2016KYB258）

Foundation Item: National Key Research and Development Program of China(2017YFC0113500); Major Science and Technology Projects of Zhejiang Province(2020C03058); Lung Tumor Diagnosis and Treatment Technology Research Center of Zhejiang Province(JBZX-202007); Medical Health Science and Technology Projects of Zhejiang Provincial Health Commission(2016KYB258)

通讯作者：胡坚，Email：dr_hujian@zju.edu.cn

Corresponding Author: HU Jian, Email: dr_hujian@zju.edu.cn

引用格式：潘亮，陆豪健，杜澄利，等 . 影响机器人肺癌手术患者术后加速康复的危险因素分析 [J]. 机器人外科学杂志（中英文），2022，3（1）：22-26.

Citation: PAN L, LU H J, DU C L, et al. Risk factors on enhanced recovery after robotic surgery for patient with lung cancer[J]. Chinese Journal of Robotic Surgery, 2022, 3 (1): 22-26.12180/j.issn.209

[1] CHEN W Q, ZHENG R S, Peter D B, et al. Cancer statistics in China, 2015[J]. CA: A Cancer Journal for Clinicians, 2016, 66(2): 115-132.

[2] Ettinger D S, Aisner D L , Wood D E, et al. NCCN Guidelines Insights: Non-Small Cell Lung Cancer, Version 5.2018[J]. Journal of the National Comprehensive Cancer Network : JNCCN, 2018, 16(7): 807-821.

[3] Postmus P E, Kerr K M, Oudkerk M, et al. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up [J]. Annals of Oncology, 2017, 28(4): 1-21.

[4] 薛满 , 夏鹏 , 常东民 , 等 . 快速康复医学在达芬奇机器人胃癌根治术中的应用 [J]. 现代肿瘤医学 , 2021, 29(1): 81-84.

[5] 徐振宇 , 唐朝朋 , 吴鼎 , 等 . 加速康复外科在达芬奇机器人辅助腹腔镜下肾肿瘤剜除术中的应用研究 [J]. 腹腔镜外科杂志 , 2020, 25(10): 774-778.

[6] 吴庭楣 , 郭航 , 魏碧玉 , 等 . 加速康复外科用于机器人辅助腹腔镜肾盂成形术患儿的效果 [J]. 中华麻 醉学杂志 , 2019, 39(9): 1108-1113.

[7] 唐博 , 高庚妹 , 叶善平 , 等 . 加速康复外科在全达芬奇机器人手术系统根治性全胃切除术中的应用价值 [J]. 中华消化外科杂志 , 2020, 19(5): 525-530.

[8] 涂广平 , 孙吉春 , 聂晚频 , 等 . 机器人辅助与腹腔镜胰十二指肠切除术治疗胰腺癌的效果与安全性比较 [J]. 中国普通外科杂志 , 2020, 29(3): 268-275.

[9] 徐杨 , 申翼 . 达芬奇机器人在食管外科中的应用 [J]. 医学研究生学报 , 2021, 34(1): 1-7.

[10] DAI C Y, SHEN J F, REN Y J, et al. Choice of surgical procedure for patients with non-small-cell lung cancer ≤ 1 cm or > 1 to 2 cm among lobectomy, segmentectomy, and wedge resection: a populationbased study[J]. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016, 34(26): 3175-3182.

[11] 田运 , 王海霖 , 段光辉 , 等 . 达芬奇机器人辅助外科行甲状腺次全切除术效果观察 [J]. 中国现代普通外科进展 , 2020, 23(8): 628-631.

[12] 黎金婷 , 庞晓燕 , 窦磊 , 等 . 达芬奇机器人手术系统在肥胖或高龄合并子宫内膜癌患者治疗中的应用 [J]. 中国肿瘤临床 , 2019, 46(19): 1018-1021.

[13] 杨昌东 , 石彦 , 谢绍辉 , 等 . 达芬奇机器人手术系统胃癌根治性全胃切除术后并发症及危险因素分析 [J]. 中华消化外科杂志 , 2019, 18(9): 864-872.

[14] 朱照伟 , 王健阁 , 屈武功 , 等 . 术前预后营养指数对达芬奇机器人膀胱癌根治术患者临床预后的影响 [J]. 中华实验外科杂志 , 2019, 36(7): 1309-1312.

[15] 周峻峰 . 达芬奇机器人胃癌手术后并发症的分级评估及危险因素的临床研究 [D]. 第三军医大学 , 2015