中国普通外科杂志2025，Vol.34Issue(8)：1662-1670,9.DOI:10.7659/j.issn.1005-6947.250371
机器人手术在复杂胆道结石治疗中应用效果的单中心回顾性对比研究
Robotic surgery for complex bile duct stones:a retrospective single-center comparative study
摘要
Abstract
Background and Aims:Complex biliary stones are often accompanied by hilar adhesions,distorted anatomy,biliary variations,or biliary-enteric fistulas.Conventional laparoscopic surgery is limited in such settings,with high conversion and complication rates.Robotic surgical systems provide high-definition 3D vision and enhanced dexterity,potentially improving surgical outcomes.This study compared the clinical efficacy of robotic vs.laparoscopic surgery for complex biliary stones. Methods:A retrospective analysis was performed on 145 patients with complex biliary stones who underwent minimally invasive surgery at Fujian Provincial Hospital,Fuzhou University,from January 2023 to January 2025.Patients were divided into a robotic group(n=62)and a laparoscopic group(n=83).Intraoperative outcomes,postoperative complications,and recovery parameters were compared.Stone recurrence was assessed during follow-up. Results:Baseline characteristics were comparable between groups(all P＞0.05).The conversion rate was 0 in the robotic group vs.7.2％in the laparoscopic group(P=0.038).The postoperative complication rate was significantly lower in the robotic group(1.6％vs.10.7％,P=0.044).Time to first oral intake,first flatus,and postoperative hospital stay were all shorter in the robotic group(all P＜0.05).No stone recurrence was observed in either group during follow-up until June 2025. Conclusion:Robotic surgery is a safe and feasible approach for complex biliary stones,offering reduced conversion and complication rates and faster recovery compared with laparoscopy.It holds promise for wider clinical application in complex biliary disease.关键词
胆石症/机器人手术/腹腔镜/手术后并发症Key words
Cholelithiasis/Robotic Surgical Procedures/Laparoscopes/Postoperative Complications分类
医药卫生引用本文复制引用
黄龙,赖建林,郑康宇,陈俊杰,胡剑飞,田毅峰,陈实..机器人手术在复杂胆道结石治疗中应用效果的单中心回顾性对比研究[J].中国普通外科杂志,2025,34(8):1662-1670,9.基金项目
中国优秀青年医师基金资助项目(国卫人发[2024]41号). （国卫人发[2024]41号）
