外科理论与实践2017，Vol.22Issue(6)：499-503,5.DOI:10.16139/j.1007-9610.2017.06.010
达芬奇机器人与腹腔镜辅助直肠癌前切除的临床疗效对照研究
Anterior resection for rectal cancer: a clinical comparative study of daVinci robotic versus laparoscopic-assisted approach
摘要
Abstract
Objective To analyze the clinical efficacy of anterior resection of rectal cancer using da Vinci robotic surgical system compared with laparoscopy.Methods A retrospective study was done on 40 patients with rectal cancer receiving da Vinci robotic assisted anterior resection comparing 60 patients of laparoscopic assisted anterior resection from June 2015 to June 2017.Perioperative results were collected to two groups.The clinical and pathological characteristics of two groups were similar.Results The amount of bleeding during operation in the da Vinci robotic group was less compared with laparoscopic group [(55.00±15.19) mL vs (81.25±74.84) mL,P＜0.05],more lymph node of detection [(13.68±1.83) vs (12.78±1.49),P＜0.05] and shorter time of postoperative urinary catheter [(3.63±0.87) d vs (4.17±0.69) d,P＜0.01].No significant difference between two groups was present postoperatively including anal exhaust time,feeding time,morbidity such as anastomotic leakage and hospital stay (P＞0.05).Conclusions Da Vinci robotic assisted anterior resection for rectal cancer has advantage in less bleeding,more lymph node detection and protection of bladder function and better postoperative recovery compared with laparoscopic assisted anterior resection.关键词
达芬奇机器人/腹腔镜/直肠癌/临床疗效Key words
DaVinci robot/Laparoscopy/Rectal cancer/Clinical outcome分类
医药卫生引用本文复制引用
崔然,钟鸣,周鸿,俞旻皓,陈建军,秦骏,骆洋,秦绍岚,仇伊尔,徐庆..达芬奇机器人与腹腔镜辅助直肠癌前切除的临床疗效对照研究[J].外科理论与实践,2017,22(6):499-503,5.基金项目
上海市卫生和计划生育委员会科研课题(201640290) （201640290）
