临床小儿外科杂志2024，Vol.23Issue(10)：946-951,6.DOI:10.3760/cma.j.cn101785-202312050-009
机器人与腹腔镜技术在改良Soave短肌鞘吻合术治疗先天性巨结肠中的应用
Comparison of Da Vinci robot-assisted versus laparoscopic-assisted modified Soave with short muscular cuff anastomosis for classical Hirschsprung's disease
摘要
Abstract
Objective To compare the efficacy of Da Vinci robot-assisted and laparoscopic-assisted modified Soave with short muscular cuff anastomosis procedures for classical Hirschsprung disease(HSCR).Methods From January 2021 to December 2023,60 HSCR children undergoing operations were retrospectively reviewed.According to operative techniques,they were assigned into two groups of robot(n=25)and laparos-copy(n=35).Operative age,body weight,operative duration,anal dissection time,intraoperative volume of blood loss,hospitalization stay length and hospitalization expense were recorded.Incidence of postoperative en-terocolitis and anastomotic complications(anastomotic obstruction,anastomotic leakage & rectovaginal fistula)were compared between two groups.Postoperative defecation control status was tracked through defecation sco-ring system.Results Between robot and laparoscopic groups,dissection duration(20.2±3.3 vs.33.1±5.6 min),intraoperative volume of blood loss(11.0±6.0 vs.16.9±13.2 ml),hospitalization expense[(46±3)vs.(38±6)thousand yuan)],incidence of anastomotic complications[(0％,0/25)vs.(17.1％,6/35)],defecation frequency[(2.4±0.8)vs.(3.4±1.2)],soiling frequency[(0.72±0.73)vs.(1.4±0.9)]and postoperative defecation function score[(7.7±0.9)vs.(6.8±0.9)].The differences were statistically sig-nificant(P＜0.05).However,operative duration,hospitalization stay length and incidence of enterocolitis were not statistically significant(P＞0.05).Conclusions As compared with laparoscopic-assisted approach,Da Vinci robot-assisted modified Soave with short muscular cuff anastomosis can shorten operative duration of anal dissection,lower the incidence of anastomotic complications and improve defecation function in HSCR children.关键词
腹腔镜/先天性巨结肠/外科手术/儿童Key words
Femoral Head Haemodynamics/Superb Microvascular Imaging/Surgical Procedures,Op-erative/Child引用本文复制引用
郑泽兵,周万康,李泽平,金祝,刘远梅,王维鳌,李严易,汤成艳,龚元,夏兴容,杜青,黄露,祝代威..机器人与腹腔镜技术在改良Soave短肌鞘吻合术治疗先天性巨结肠中的应用[J].临床小儿外科杂志,2024,23(10):946-951,6.基金项目
国家自然科学基金(82060100) （82060100）
贵州省基础研究项目(黔科合基础ZK-2021-361) National Natural Science Foundation of China(82060100) （黔科合基础ZK-2021-361）
Basic Research Project of Guizhou Province(Qiankehe Foundation ZK-2021-361) （Qiankehe Foundation ZK-2021-361）
