机器人外科学杂志（中英文）2020，Vol.1Issue(5)：307-316,10.DOI:10.12180/j.issn.2096-7721.2020.05.001
机器人与腹腔镜在右半结肠癌切除术中的疗效对比
Robotic versus laparoscopic colectomy for right-sided colon cancer: short-term outcomes from a single center
摘要
Abstract
Objective: To compare the feasibility and safety of laparoscopic and robotic colectomy in right-sided colon cancer.Methods: 48 patients underwent laparoscopic colectomy (LC group) and 58 patients underwent robotic colectomy (RC group) for right-sided colon cancer from June 2016 to August 2019 at Gansu Provincial Hospital were enrolled in this study. The operation time, estimated blood loss, time to first flatus, duration of the liquid diet, number of harvested lymph nodes, postoperative hospital stay and total costs of the two groups were analyzed and compared.Results: The conversion rate to open surgery due to technical issues in the LC group was 2％ (1/48) and in the RC group was 0％ (0/58). The mean postoperative hospital stay of patients underwent RC was shorter than patients underwent LC (P<0.001). The 30-day mortality was zero and no significant difference was observed in respect to specific complications between the two groups. The total number of harvested lymph nodes was 14.24 in the RC group and 14.35 in the LC group.Conclusion: The present study suggests that RC is more beneficial for patients due to its shorter hospital stay. However, further randomized controlled trials are needed to determine any significant benefit on the use of RC compared to LC.关键词
机器人手术/腹腔镜手术/结直肠癌/右半结肠癌Key words
Robotic surgery/Laparoscopic surgery/Colorectal cancer/Right-sided colon cancer分类
医药卫生引用本文复制引用
史新龙,朱小龙,王赫,刘志鹏,吴德望,吕耀春,杜斌斌,张维胜,杨熊飞..机器人与腹腔镜在右半结肠癌切除术中的疗效对比[J].机器人外科学杂志（中英文）,2020,1(5):307-316,10.基金项目
甘肃省自然科学基金(18JR3RA055) （18JR3RA055）
甘肃省青年科技基金(17JR5RA031) （17JR5RA031）
甘肃省卫健委项目(GSWSKY-2019-69) （GSWSKY-2019-69）
甘肃省人民医院科研基金(18GSSY1-2 （）
20GSSY1-6 （）
20GSSY3-1 （）
20GSSY4-9) （）
兰州市科技发展指导性计划(2017-ZD-42)Natural Science Foundation of Gansu(18JR3RA055) （2017-ZD-42）
Youth Science and Technology Foundation of Gansu(17JR5RA031) （17JR5RA031）
Project of Health Commission of Gansu Province(GSWSKY-2019-69) （GSWSKY-2019-69）
Natural Science Foundation of Gansu Provincial Hospital(18GSSY1-2,20GSSY1-6,20GSSY3-1,20GSSY4-9) （18GSSY1-2,20GSSY1-6,20GSSY3-1,20GSSY4-9）
Science and Technology Development Guiding Project of Lanzhou(2017-ZD-42) （2017-ZD-42）
