解放军医学院学报2017，Vol.38Issue(12)：1102-1105,4.DOI:10.3969/j.issn.2095-5227.2017.12.003
三臂与二臂机器人辅助直肠癌根治术近期疗效比较
Clinical outcomes of robot-assisted anterior resection for rectal cancer: 3-arm versus 2-arm system
摘要
Abstract
Objective To compare the clinical outcomes of robot-assisted anterior resection of rectum between 3-arm and 2-arm system.Methods Clinical data about 110 cases with rectal cancer who received robot-assisted anterior resection of rectum from Sept.2014 to Oct.2016 were reviewed.Fifty patients who received robot-assisted anterior resection of rectum with 3-arm system were chosen as the observation group and 60 patients who received robot-assisted anterior resection with 2-arm system were the control group.Results The baseline data were well matched in two groups.Compared to the control group,the surgery using 3 robot arms had the advantage of shorter operating time [(136.4 ± 4.5) min vs (152.8 ± 3.9) min,P=0.005],less blood loss [(45.9 ±10.9) ml vs (59.3 ± 16.3) ml,P=0.036],shorter period of indwelling gastric tube [(43.9 ± 0.6) h vs (48.6 ± 0.8) h,P=0.001],shorter time to ambulation [(15.9 ± 0.5) h vs (18.9 ± 0.7) h,P=0.000],shorter hospital stay [(8.12 ± 1.66) d vs (10.67 ± 1.72) d,P=0.036],but the cost was higher than the control group [(10.4 ± 0.3) ten thousand yuan vs (8.1 ± 0.5) ten thousan yuan,P=0.002].In addition,the period of indwelling urinary catheter and postoperative complications were not significant different between observation group and control group.Conclusion The robot-assisted anterior resection with 3 robotic arms is feasible and safe for rectal cancer patients comparing with using 2 robot arms.Quick recovery and satisfying short-term clinical outcomes are achieved,but the cost is high.关键词
达芬奇机器人手术/微创外科/直肠癌Key words
Da-Vince robot-assisted surgery/minimal surgery/rectal cancer分类
医药卫生引用本文复制引用
那兴邦,宋林杰,李松岩,张红亮,杨宇,杜晓辉..三臂与二臂机器人辅助直肠癌根治术近期疗效比较[J].解放军医学院学报,2017,38(12):1102-1105,4.基金项目
国家自然科学基金资助项目(6147137)Supported by the National Natural Science Foundation of China (6147137) （6147137）
