机器人外科学杂志（中英文）2025，Vol.6Issue(5)：833-838,846,7.DOI:10.12180/j.issn.2096-7721.2025.05.026
达芬奇机器人辅助腹腔镜在泌尿外科手术中的效果
Application effect of Da Vinci robot-assisted laparoscopic technology in urological surgery
摘要
Abstract
Objective:To explore the application effect of Da Vinci robot-assisted laparoscopic technology in urological surgery.Methods:98 patients who underwent urological surgery in the First Affiliated Hospital of Naval Medical University from April 2022 to April 2024 were selected.They were divided into the control group(n=48)and the observation group(n=50)using the random number table method,the control group received conventional laparoscopic surgery and the observation group received Da Vinci robot-assisted laparoscopic surgery.The patients in both groups were further stratified by surgical approach into radical cystectomy,radical nephrectomy,and radical prostatectomy subgroups within each respective group.Surgical parameters,postoperative recovery,complication rates,and quality of life(QoL)were assessed before and after treatment.Results:The observation group had significantly reduced intraoperative blood loss,shorter operative time and lower hospitalization costs compared to the control group(P<0.05).Postoperative recovery indicators,including time to first flatus,time to ambulation,and length of hospital stay,were superior in the observation group(P<0.05).The complication rate in the observation group was markedly lower than that in the control group(P<0.05).Pain scores at 6h,12h and 24 h after surgery were significantly lower in the observation group(P<0.05).After treatment,the Barthel index scores of the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05),but the difference between the two groups was not statistically significant(P>0.05).Greater wound satisfaction was found in the observation group 6 weeks after surgery(P<0.05).Follow-up results indicated a lower recurrence rate in the observation group(χ 2=5.347,P=0.021).Conclusion:Da Vinci robot-assisted laparoscopic urological surgery significantly reduces operative time,intraoperative blood loss,and postoperative complication rates,while enhancing recovery and improving quality of life,demonstrating notable clinical efficacy.关键词
手术机器人/腹腔镜手术/泌尿外科Key words
Surgical Robot/Laparoscopic Surgery/Urological Surgery分类
医药卫生引用本文复制引用
程雅倩,曹洁,任凭,丁艳,吕春,秦娜..达芬奇机器人辅助腹腔镜在泌尿外科手术中的效果[J].机器人外科学杂志（中英文）,2025,6(5):833-838,846,7.基金项目
上海市卫生健康委员会科研课题(2021SD-B02)Scientific research project of Shanghai Municipal Health Commission(2021SD-B02) （2021SD-B02）
