机器人外科学杂志（中英文）2020，Vol.1Issue(5)：317-326,10.DOI:10.12180/j.issn.2096-7721.2020.05.002
机器人与腹腔镜直肠癌TME手术的近期疗效对照研究
Comparative study on short-term outcomes of robot-assisted and laparoscopic total mesorectal excision (TME) on rectal cancer: results of a single center in Gansu province
摘要
Abstract
Objective:To compare the short-term outcomes of conventional laparoscopic total mesorectal excision (L-TME) and robot-assisted total mesorectal excision (R-TME) on rectal cancer.Methods: A total of 235 patients underwent R-TME (120) or L-TME (115) after diagnosed with rectal cancer from January 2019 to December 2019 were included in this study. Patients' characteristics, perioperative characteristics and pathologic characteristics were evaluated between the R-TME group and the L-TME group.Results: Compared with the L-TME group, the R-TME group showed less intraoperative blood loss (123.7ml Vs 167.2ml,P=0.003), less first flatus time (79.2h Vs 118.3h,P<0.001), less first liquid diet time (91.0h Vs 123.0h,P<0.001), less volume of abdominal drainage (315.4ml Vs 397.0ml,P=0.042) and shorter hospital stay (8.1d Vs 8.9d,P=0.017) . However, the R-TME group had more expensive total hospitalization costs (80193.9CNY Vs 65791.0CNY,P<0.001). No significant differences were observed between the two groups in respect to operation time, total number of examined lymph nodes, time of abdominal drainage and postoperative complications. The pathologic characteristics of the two groups were not significantly different.Conclusion:This study shows that the robot-assisted total mesorectal excision is superior to laparoscopic one in terms of short-term outcomes in surgeries of rectal cancer, it is safe and feasible to treat rectal cancer.关键词
直肠癌/机器人手术/腹腔镜手术/近期疗效Key words
Rectal cancer/Robot-assisted surgery/Laparoscopic surgery/Short-term outcome分类
医药卫生引用本文复制引用
王赫,徐世赟,燕东,张洪来,李来元,段耀星,胡东平,陈玲娟,杜斌斌,王涛,王小英,刘志鹏,张维胜,杨熊飞,李晶晶,朱成章,朱小龙,史新龙,吕耀春,吴德望,刘文涵..机器人与腹腔镜直肠癌TME手术的近期疗效对照研究[J].机器人外科学杂志（中英文）,2020,1(5):317-326,10.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）
