机器人外科学杂志（中英文）2025，Vol.6Issue(10)：1652-1656,1662,6.DOI:10.12180/j.issn.2096-7721.2025.10.005
机器人辅助与腹腔镜下直肠癌根治术在超重和肥胖患者中的疗效对比
Comparison of efficacy between robot-assisted and laparoscopic radical resection for rectal cancer in overweight and obese patients
摘要
Abstract
Objective:To compare the efficacy of robot-assisted versus laparoscopic radical resection for rectal cancer in overweight and obese patients,and to analyze its impact on surgical field exposure,nerve protection,and long-term survival rates.Methods:120 overweight and obese patients with rectal cancer who were treated at the People's Hospital of Xinjiang Uygur Autonomous Region from January 2020 to December 2021 were selected.They were divided into the control group(n=61,undergoing laparoscopic radical resection)and the study group(n=59,undergoing robot-assisted radical resection)using a computer-generated random number table.Surgical indicators,quality of surgical field exposure,urinary function-related indicators,complications,and long-term survival were compared between the two groups.Results:Compared with the control group,the study group had less intraoperative blood loss(P<0.05),more lymph nodes harvested(P<0.05),but higher hospitalization costs(P<0.05).The study group also had shorter duration of mechanical ventilation,indwelling catheterization and length of hospital stay(P<0.05),but better intraoperative surgical field exposure grading(P<0.05).Compared with the control group,the successful urination rate and maximum urinary flow rate were higher in the study group(P<0.05),while residual urine volume,incidence of voiding dysfunction,and occurrences of urinary retention,dysuria,urgency and frequency were lower(P<0.05).There was no significant difference in 3-year overall survival(OS)or 3-year disease-free survival(DFS)between the two groups(P>0.05).Conclusion:For overweight and obese patients,robot-assisted radical resection for rectal cancer offers advantages over laparoscopic surgery in terms of surgical field exposure,pelvic autonomic nerve protection,and reduction of postoperative urinary dysfunction,but there is no significant difference in long-term survival between the robot-assisted and laparoscopic radical resection for rectal cancer.关键词
机器人辅助手术/腹腔镜手术/直肠癌根治术/术野暴露/盆腔自主神经/远期生存率Key words
Robot-assisted Surgery/Laparoscopic Surgery/Radical Resection of Rectal Cancer/Surgical Field Exposure/Pelvic Autonomic Nerves/Long-term Survival Rate分类
医药卫生引用本文复制引用
高维鸽,史文,伊敏江·托合提,李涛..机器人辅助与腹腔镜下直肠癌根治术在超重和肥胖患者中的疗效对比[J].机器人外科学杂志（中英文）,2025,6(10):1652-1656,1662,6.基金项目
新疆维吾尔自治区自然科学基金项目(2020D01C112)Natural Science Foundation Project of Xinjiang Uygur Autonomous Region(2020D01C112) （2020D01C112）
