机器人外科学杂志（中英文）2026，Vol.7Issue(2)：194-199,6.DOI:10.12180/j.issn.2096-7721.2026.02.003
机器人辅助与胸腔镜下心脏肿瘤切除术的对比研究
A comparative study of robot-assisted versus thoracoscopic cardiac tumor resection
摘要
Abstract
Objective:To compare the clinical outcomes of robot-assisted and totally thoracoscopic cardiac tumor resection,evaluate the safety and efficacy of the robotic surgical system and summarize preliminary experience.Methods:A retrospective analysis was conducted on 59 patients who underwent minimally invasive cardiac tumor resection at the Department of Cardiovascular Surgery at the First Affiliated Hospital of Nanjing Medical University between September 2018 and March 2025.Based on the surgical approach,patients were divided into the robotic group(n=24)and the thoracoscopic group(n=35).Perioperative indicators and follow-up outcomes were compared between the two groups.Results:All surgeries were successfully completed.Compared to the thoracoscopic group,the robotic group showed significantly lower 24h drainage,shorter cardiopulmonary bypass time,aortic cross-clamp time,and postoperative ventilator-assisted time(P<0.05).There were no statistically significant differences between the two groups in terms of postoperative hospital stay,total operative time,intraoperative RBC infusion,postoperative length of ICU stay,size of arteriovenous catheter,postoperative incidence of stroke,and co-occurrence of other surgeries(P>0.05).No tumor recurrence was observed in any patient during the follow-up.Conclusion:Robot-assisted cardiac tumor resection is safe and effective,which can achieve comparable long-term outcomes to total thoracoscopic surgery.For patients with broad-based or large-volume tumors,robot-assisted surgery has significant advantages.关键词
机器人手术系统/心脏肿瘤/全胸腔镜手术/微创心脏外科Key words
Robotic Surgical System/Cardiac Tumor/Total Thoracoscopic Surgery/Minimally Invasive Cardiac Surgery分类
医药卫生引用本文复制引用
唐义虎,周景昕,戴亚伟,孔今墨,吴延虎..机器人辅助与胸腔镜下心脏肿瘤切除术的对比研究[J].机器人外科学杂志（中英文）,2026,7(2):194-199,6.基金项目
国家重点专科建设项目(CZ1320240102) （CZ1320240102）
江苏省卫生健康委重点项目(ZD2021046) （ZD2021046）
江苏省科教能力提升工程(ZDXK202230) National Key Specialty Construction Project(CZ1320240102) （ZDXK202230）
Major Project of Jiangsu Commission of Health(ZD2021046) （ZD2021046）
Science and Education Capability Enhancement Project of Jiangsu Province(ZDXK202230) （ZDXK202230）
