中国实用外科杂志2016，Vol.36Issue(11)：1180-1182,3.DOI:10.7504/CJPS.ISSN1005-2208.2016.11.11
机器人与腹腔镜直肠癌前切除术近期疗效对比研究
Robotic versus laparoscopic anterior resection for rectal cancer:A comparative study of short-term outcomes
杜晓辉1
作者信息
- 1. 中国人民解放军总医院普通外科，北京100853
- 折叠
摘要
Abstract
Objective To investigate the safety and short-term outcomes of da Vinci robotic surgical system in rectal cancer radical surgery. Methods The clinical data of 78 patients who underwent da Vinci robotic rectal anterior resection (robotic group) and 156 patients who underwent laparoscopy-assisted rectal anterior resection (laparoscopic group) from January 2012 to December 2015 in Chinese PLA General Hospital were compared retrospectively. Evaluation was focused on clinicopathological characteristics and short-term outcomes. Results The blood loss was significant less in the robotic group than that in the laparoscopic group[(53.9±12.4)mL vs.(75.7±58.6)mL,P=0.000]. The operating time was longer in the robotic group than that in the laparoscopic group[(208.5±118.5)min vs.(173.7± 35.4)min,P=0.003]. There was no significant difference in the time of first flatus passage,the time of first diet,the time of removing the urinary catheter,the number of retrieved lymph nodes,the postoperative complications and the length of stay(P>0.05). In addition,the cost of surgery was significant higher in robotic group in comparison with the laparoscopic group[(84.0 ± 13.1) thousands yuan vs. (69.6 ± 12.7) thousands yuan,P=0.004). Conclusion Da Vinci robotic system is safe and feasible for patients with rectal cancer. The short-term outcomes of the robotic anterior resection of rectal cancer is identical to those of the laparoscopic operation. The long-term oncologic outcomes need the further evaluation.关键词
直肠肿瘤/机器人手术系统/腹腔镜/全直肠系膜切除Key words
rectal neoplasms/robotic surgical system/laparoscopy/total mesorectal excision分类
医药卫生引用本文复制引用
杜晓辉..机器人与腹腔镜直肠癌前切除术近期疗效对比研究[J].中国实用外科杂志,2016,36(11):1180-1182,3.
