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成人型胆总管囊肿的机器人手术疗效分析

刘斐 彭承宏 吴志翀 金佳斌 邓侠兴 詹茜 陈皓 沈柏用

外科理论与实践Issue(3):202-205,4.
外科理论与实践Issue(3):202-205,4.DOI:10.16139/j.1007-9610.2015.03.007

成人型胆总管囊肿的机器人手术疗效分析

Resection of adult choledochal cysts using robotic surgical system

刘斐 1彭承宏 1吴志翀 1金佳斌 1邓侠兴 1詹茜 1陈皓 1沈柏用1

作者信息

  • 1. 上海交通大学医学院附属瑞金医院外科 上海消化外科研究所,上海 200025
  • 折叠

摘要

Abstract

Objective To investigate the feasibility, security and efficacy of robot-assisted surgery in resection of adult choledochal cysts. Methods The clinical data of 4 patients with the resection of choledochal cysts and Roux-en-Y hepati-cojejunostomy using robotic surgical system from 2010 to 2014 were analyzed retrospectively. A comparative study was made with 12 patients who underwent open resection of choledochal cysts and Roux-en-Y hepaticojejunostomy. Results All the operations were performed successfully both in robotic group without the conversion to laparotomy and in open group. The operation time was (127.5±35.0) (90-170) min with blood loss (25.0±28.9) (0-50) mL. No transfusion was given during and after the operation. The postoperative hospital stay was (11.8±3.9)(8-16) days. The operation time was shorter and the blood loss less in the robotic group than in the open group (P<0.05). No complications was found during the period of follow-up 5-31 months. Conclusions The resection of adult choledochal cysts and Roux-en-Y hepaticojejunostomy with robot-assisted surgery is secure and feasible with the advantages of mini-invasive and quick recovery.

关键词

成人型胆总管囊肿/机器人手术系统/Roux-en-Y胆肠吻合术

Key words

Adult choledochal cyst/Robotic surgical system/Roux-en-Y hepaticojejunostomy

分类

医药卫生

引用本文复制引用

刘斐,彭承宏,吴志翀,金佳斌,邓侠兴,詹茜,陈皓,沈柏用..成人型胆总管囊肿的机器人手术疗效分析[J].外科理论与实践,2015,(3):202-205,4.

基金项目

国家自然科学基金 ()

外科理论与实践

OACSTPCD

1007-9610

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