机器人外科学杂志（中英文）2026，Vol.7Issue(2)：186-193,8.DOI:10.12180/j.issn.2096-7721.2026.02.002
机器人辅助与腹腔镜肝切除术治疗肝内胆管结石的疗效比较
Comparison of robot-assisted and laparoscopic hepatectomy for intrahepatic bile duct stone
摘要
Abstract
Objective:To evaluate the safety and therapeutic efficacy of robot-assisted versus laparoscopic hepatectomy for intrahepatic bile duct stone.Methods:Clinical data of patients with intrahepatic biliary stone who underwent robot-assisted or laparoscopic hepatectomy at the Second Affiliated Hospital of Kunming Medical University from February 2021 to August 2024 were retrospectively analyzed.Patients were divided into the laparoscopic group and the robotic group based on surgical approach.After 1∶2 propensity score matching,the laparoscopic group included 35 patients,while the robotic group included 18 patients.Perioperative indicators,laboratory parameters,and postoperative complications were compared between the two groups.Results:The robotic group had less intraoperative blood loss,fewer hepatic portal occlusions,and shorter hepatic portal occlusion times than the laparoscopic group,but higher total hospital costs(P<0.05).On postoperative day 1,the robotic group showed lower levels of alanine aminotransferase(ALT)and aspartate aminotransferase(AST)than the laparoscopic group(P<0.05).No statistically significant differences were observed between the two groups in terms of operative time,intraoperative transfusion rate,conversion to open surgery rate,postoperative length of hospital stay,other laboratory indicators,or postoperative complication rates(P>0.05).Conclusion:Robot-assisted hepatectomy has certain advantages over laparoscopic hepatectomy in the treatment of intrahepatic bile duct stones,with significantly reduced intraoperative blood loss,fewer hepatic portal occlusions,and shorter occlusions time,which contributes to improved postoperative liver function recovery,along with enhanced perioperative safety and superior therapeutic outcomes.关键词
机器人辅助手术/肝内胆管结石/肝切除术/安全性/疗效Key words
Robot-assisted Surgery/Intrahepatic Bile Duct Stone/Hepatectomy/Safety/Efficacy分类
医药卫生引用本文复制引用
李国旺,李婧,康强,杨晨,柯阳,李越华..机器人辅助与腹腔镜肝切除术治疗肝内胆管结石的疗效比较[J].机器人外科学杂志（中英文）,2026,7(2):186-193,8.基金项目
国家自然科学基金(82460461) （82460461）
云南省中青年学术和技术带头人后备人才项目(202205AC160063) National Natural Science Foundation of China(82460461) （202205AC160063）
Young and Mid-aged Academic and Technical Leader Talent Reserve Program of Yunnan Province(202205AC160063) （202205AC160063）
