机器人与腹腔镜在右半结肠癌切除术中的疗效对比

摘要/Abstract

比较达芬奇机器人系统和腹腔镜在右半结肠癌手术中的临床疗效，探讨达芬奇机器人右半结肠切除术的安全性及可行性。方法：回顾性分析2016 年6 月~2019 年8 月在甘肃省人民医院肛肠科行腹腔镜右半结肠切除术的患者48 例，行机器人右半结肠切除术的患者58 例。围手术期的结果包括手术时间、术中失血量、通气时间、流质饮食时间、所获淋巴结的数目、术后住院时间以及总费用等。结果：腹腔镜组术中中转开腹率为2％，机器人组无术中中转开腹。机器人组术后住院时间明显短于腹腔镜组，差异具有统计学意义（P<0.001）。两组患者术后30d 的死亡率为零。机器人组平均清扫淋巴结总数为14.24 枚，腹腔镜组平均清扫淋巴结总数为14.35 枚，两组未见明显差异。结论：达芬奇机器人系统行右半结肠切除术是安全、可行的。与腹腔镜组手术相比，机器人组术后住院时间短，近期肿瘤学的结果安全可靠，可作为右半结肠癌治疗的有效手段之一。

To compare the feasibility and safety of laparoscopic and robotic colectomy in right-sided coloncancer. Methods: 48 patients underwent laparoscopic colectomy (LC group) and 58 patients underwent robotic colectomy (RCgroup) for right-sided colon cancer from June 2016 to August 2019 at Gansu Provincial Hospital were enrolled in this study.The operation time, estimated blood loss, time to first flatus, duration of the liquid diet, number of harvested lymph nodes,postoperative hospital stay and total costs of the two groups were analyzed and compared. Results: The conversion rate to opensurgery due to technical issues in the LC group was 2% (1/48) and in the RC group was 0% (0/58). The mean postoperativehospital stay of patients underwent RC was shorter than patients underwent LC (P<0.001). The 30-day mortality was zero and nosignificant difference was observed in respect to specific complications between the two groups. The total number of harvestedlymph nodes was 14.24 in the RC group and 14.35 in the LC group. Conclusion: The present study suggests that RC is morebeneficial for patients due to its shorter hospital stay. However, further randomized controlled trials are needed to determine anysignificant benefit on the use of RC compared to LC.

稿件信息

参考文献

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