肿瘤预防与治疗2024，Vol.37Issue(4)：320-327,8.DOI:10.3969/j.issn.1674-0904.2024.04.007
达芬奇机器人辅助McKeown食管癌切除术的临床应用及疗效评估
Clinical Application and Efficacy Evaluation of Da Vinci Robot-Assisted Mckeown Esophagectomy for Esophageal Cancer
摘要
Abstract
Objective:The purpose of this study was to investigate the clinical application of da Vinci robot-assisted McKeown esophagectomy for esophageal cancer,and evaluate its safety,efficacy and prognosis.Methods:This study retro-spectively collected the clinical data of 151 patients who underwent da Vinci robot-assisted McKeown esophagectomy for e-sophageal cancer in the department of thoracic surgery in Union Hospital Affiliated to Fujian Medical University from August 2016 to December 2021,and analyzed the clinical efficacy,safety,and tumor prognosis of robotic McKeown esophagectomy using statistical methods.Results:A total of 151 patients with esophageal cancer treated with da Vinci robot-assisted McKe-own surgery were included.There were 106 men and 45 women,with the mean age of(62.49±8.64)years.The operation time was(282.43±69.61)min;blood loss was(108.01±74.40)mL;and 40.21±17.40 lymph nodes were dissected,including 21.47±9.69 thoracic lymph nodes.There were 18 cases(11.9％)of lymph node metastasis next to the left re-current laryngeal nerve,and 30 cases(19.9％)of lymph node metastasis next to the right recurrent laryngeal nerve.Postop-erative pathology confirmed 149 patients with squamous carcinoma,1 with small cell carcinoma,and 1 with mixed small cell squamous carcinoma.Of the 42 patients who received neoadjuvant therapy,7(16.67％)achieved pathological complete re-mission.The overall postoperative complication rate was 32.45％(49/151).The complications included hoarseness in 12 cases(7.95％),pulmonary complications in 29 cases(19.21％),anastomotic fistula in 6 cases(3.97％),pleural effu-sion in 8 cases(5.30％),incisional infection in 1 case(0.66％),celiac disease in 1 case(0.66％),and heart-related complications in 13 cases(8.61％).3 patients required admission to ICU postoperatively,with the length of stay from 7 to 15 days.There were no deaths during the perioperative period,and the postoperative length of stay was(8.85±5.85)d.For the 151 patients with esophageal cancer,the R0 resection rate was 98.68％,the 5-year disease-free survival was 63.9％,and the 5-year overall survival was 69.1％.Conclusion:Da Vinci robot-assisted McKeown esophagectomy for e-sophageal cancer is a safe and effective treatment that provides better clinical outcomes and prognosis for patients with esoph-ageal cancer.关键词
达芬奇机器人/McKeown食管癌切除术/食管癌Key words
Da Vinci robot/McKeown esophagectomy/esophageal cancer分类
医药卫生引用本文复制引用
张树亮,林传泉,陈茂辉,曾台堆,陈椿,郑斌..达芬奇机器人辅助McKeown食管癌切除术的临床应用及疗效评估[J].肿瘤预防与治疗,2024,37(4):320-327,8.基金项目
This study was supported by grants from Key Laboratory of Thoracic and Cardiovascular Surgery of Fujian Higher Education(Fujian Medical University)(No.2019-67).胸心外科福建省高校重点实验室(编号:NO.2019-67) （Fujian Medical University）
