中国实用外科杂志2017，Vol.37Issue(5)：548-551,4.DOI:10.19538/j.cjps.issn1005-2208.2017.05.21
机器人辅助腹腔镜肝切除术142例报告
Outcomes of robot-assisted laparoscopic liver resection:A report of 142 cases
王晓颖 1高强 1端猛 1丁振斌 1朱晓东 1彭远飞 1周俭 1樊嘉1
作者信息
- 1. 复旦大学附属中山医院肝外科,上海200032
- 折叠
摘要
Abstract
Objective To analyze the perioperative and oncological outcomes of robot-assisted laparoscopic liver resection. Methods The clinical data of 142 cases of liver neoplasm underwent robot-assisted laparoscopic liver resection between March, 2010 and December, 2016 at Zhongshan Hospital, Fudan University were analyzed retrospectively. Results There were 62 cases of primary liver cancer, 55 cases of liver metastasis of colorectal cancer (CRLM), 1 case of hilar cholangiocarcinoma, 23 cases of benign liver disease, and 1 case of living donor hepatectomy. Liver resection was the major resection (≥3 segments) in 52 cases (36.6%) and was the minor liver resection(<3 segments) in 90 cases (63.4%). Conversion rate is 0. Operative blood loss was(119.0 ± 121.8)mL, and 2 cases (1.4%) received blood transfusion. The R0 resection rate was 100%. The perioperative complication incidence(>gradeⅢ)and mortality were 1.4%and 0, respectively. The hospital stay was(5.5±2.2)days. The 1, 3, 5-year overall survival rates for primary liver cancer were 97.8%、90.8%76.2%, respectively. The 1, 2-year overall survival rates for CRLM were 97.8%and 97.8%, respectively. Conclusion Robot-assisted laparoscopic liver resection for liver neoplasm is safe and feasible in selected patients, with favorable operative outcome and long-term oncologic results.关键词
机器人手术系统/腹腔镜/肝切除术/肝肿瘤Key words
robot surgical system/laparoscopy/hepatectomy/liver neoplasms分类
医药卫生引用本文复制引用
王晓颖,高强,端猛,丁振斌,朱晓东,彭远飞,周俭,樊嘉..机器人辅助腹腔镜肝切除术142例报告[J].中国实用外科杂志,2017,37(5):548-551,4.
