目的：探究人工扶镜与机器人辅助扶镜下腹腔镜结直肠癌手术患者的临床疗效差异。方法：采用前 瞻性研究方式，选 2021 年 1 月—2023 年 6 月于蚌埠医科大学第二附属医院实施腹腔镜结直肠癌手术的 100 例患者， 将其简单随机分为对照组和研究组（每组 50 例）。对照组接受常规人工扶镜干预下的腹腔镜结直肠癌手术，研究 组则接受机器人辅助扶镜干预下的腹腔镜结直肠癌手术。比较两组患者术中指标、术后康复指标以及术后 12 h、 24 h、36 h、48 h 疼痛评分、并发症发生情况、主刀医生的手术感受。结果：与对照组相比，研究组手术完成时间更短， 手术出血量更少，术后引流管拔除时间、住院时间更短，住院费用更少，术后 24 h、36 h、48 h VAS 评分更低，并 发症发生率更低，并发症严重程度更轻，手术效率、手术精力充沛度、工作舒适度得分及总分更高。结论：机器人 辅助扶镜更能提高腹腔镜结直肠癌患者的手术效率及康复效率，降低术后并发症发生率，改善术后疼痛，提高主刀 医生的手术感受。

Objective: To explore the difference of clinical efficacy in patients undergoing laparoscopic colorectal cancer surgery with manual and robot-assisted camera holding. Methods: 100 patients who underwent laparoscopic colorectal cancer surgery in the Second Affiliated Hospital of Bengbu Medical University from June 2021 to January 2023 were selected and prospectively studied. They were randomly divided into the control group and the study group (n=50). The control group received laparoscopic colorectal cancer surgery with manual camera holding, and the study group received the same surgery with the robotassisted camera holding. Intraoperative indexes, postoperative rehabilitation indexes, pain scores at 12 h, 24 h, 36 h, 48 h after surgery, complications, and operative feelings of surgeons were compared between the two groups of patients. Results: Compared with the control group, the study group had shorter operative time, less bleeding, shorter time of drain removal, shorter length of hospital stay, lower hospitalization cost, lower postoperative VAS scores at 24 h, 36 h and 48 h after surgery, lower complication rate and less severe complications, but higher operative efficiency, operative energy, working ease scores and total scores. Conclusion: Robotassisted camera holding can improve the efficiency of laparoscopic colorectal cancer surgery, improve rehabilitation efficiency, reduce postoperative complications and postoperative pain, and improve the operating experience of surgeons.

收稿日期：2023-12-20  录用日期：2024-03-11 

Received Date: 2023-12-20  Accepted Date: 2024-03-11 

基金项目：安徽省高校协同创新项目计划（GXXT-2019-014） 

Foundation Item: Collaborative Innovation Project Plan for Universities in Anhui Province (GXXT-2019-014) 

通讯作者：周少波，Email：zhoushaobodoctor@sina.com 

Corresponding Author: ZHOU Shaobo, Email: zhoushaobodoctor@sina.com 

引用格式：崔皖晋，褚亮，周少波 . 人工扶镜与机器人辅助扶镜下腹腔镜结直肠癌手术患者的临床疗效比较 [J]. 机器人外科学杂志 （中英文），2024，5（3）：447-453. 

Citation: CUI W J, CHU L, ZHOU S B. Comparison of clinical efficacy between manual and robot-assisted camera holding in laparoscopic colorectal cancer surgery [J]. Chinese Journal of Robotic Surgery, 2024, 5(3): 447-453.

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