| 引用本文: | 秦诚,郭婕,李垂金,杨焘,赵俊军,张桥文,何国礼,刘立华,潘秀镭.减臂法达芬奇机器人手术在男性低位直肠癌的临床研究[J].中国临床新医学,,():-. |
| qincheng,guojie,lichuijin,yangtao,zhaojunjun,zhangqiaowen,heguoli,liulihua,panxiulei.减臂法达芬奇机器人手术在男性低位直肠癌的临床研究[J].中国临床新医学,,():-. |
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| 减臂法达芬奇机器人手术在男性低位直肠癌的临床研究 |
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秦诚, 郭婕, 李垂金, 杨焘, 赵俊军, 张桥文, 何国礼, 刘立华, 潘秀镭
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广西壮族自治区南溪山医院（广西壮族自治区第二人民医院）
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| 摘要: |
| 目的 研究减臂机器人辅助男性低位直肠癌根治术作为一种经济有效的机器人低位直肠癌根治术的临床应用价值和有效性。方法 研究回顾性收集了2021年10月至2023年10月在广西桂林市南溪山医院胃肠外科接受机器人辅助腹腔镜下直肠切除术的120例男性患者。根据手术方式将120名男性患者分常规机器人手术组(3臂)和减臂机器人手术(2臂),并记录患者一般资料、手术方法、手术时间、术中出血、术后淋巴结检出数目、术后并发症、术后住院时间、住院费用。收集的数据使用统计软件SPSS22.0进行分析。结果 120例病人均顺利进行手术,无中转开腹,两组病人在术中出血、术后淋巴结检出数目、术后并发症、术后住院时间比较无明显统计学差异。常规组手术时间为(143.88±23.65)min,术中出血量为(139.17±43.03)ml,排气时间为(2.77±1.11)d；减臂组上述指标分别为(134.08±21.67)min、(114.00±36.79)ml、(2.27±1.26)d。减臂组的手术时间、排气时间均明显短于常规组(P=0.002, P=0.023)。减臂组术中出血量显著少于常规组(P=0.001)。在住院费用上常规组住院期间花费显著高于减臂组(P=0.000)。结论 减臂法(2臂)机器人辅助男性低位低位直肠癌根治术切除术似乎是一种经济有效的手术方案,其与常规的机器人低位直肠癌根治术相比,减少术中时间及出血的同时,并不增加手术相关发病率的风险。因此该减臂法在低位直肠癌的诊疗中可能成为机器人手术首选的手术方法。 |
| 关键词: 低位直肠癌 达芬奇机器人 减臂手术 |
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| A clinical study of arm reduced robotic laparoscopic surgery with low rectal cancer in male patients |
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qincheng, guojie, lichuijin, yangtao, zhaojunjun, zhangqiaowen, heguoli, liulihua, panxiulei
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Nanxishan Hospital of Guangxi Zhuang Autonomous Region
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| Abstract: |
| Objective To investigate the clinical utility and effectiveness of arm reduced robotic-assisted laparoscopic low rectal resection in man as a cost-effective surgical option for total robotic surgery. Method The study retrospectively collected 120 male patients who underwent robotic assisted laparoscopic low rectal resection in the department of Gastrointestinal Surgery of South River Hill Hospital from October 2021 to September 2022. The patients were divided into two groups of 60 each: (1) the arm-reduced robotic-assisted laparoscopic surgery group (n = 60 patients), and (2) the common robotic-assisted laparoscopic surgery group (n = 60 patients). The operation time, intraoperative blood loss, the number of dissected lymph nodes, postoperative complications, hospital stay and hospital costs were recorded and compared between the two groups. Collected data were analyzed by Statistical Package for Social Sciences version 22.0. Result There was no significant statistical difference between the two groups in intraoperative bleeding, the number of postoperative lymph nodes detected, postoperative complications, and postoperative hospital stay. The operation time, intraoperative bleeding and exhaust time in arm-reduced surgery group were 143.88±23.65min, 139.17±43.03ml, 2.77±1.11days, respectively. In the arm-reduced surgery group, the above indexes were 134.08±21.67min, 114.00±36.79ml, 2.27±1.26days, respectively. The operation time and exhaust time were significantly shorter in the arm-reduced surgery group than common surgery group (134.08±21.67min versus 139.17±43.03ml P=0.002, 2.27±1.26 days versus 2.77±1.11 days P=0.023). The intraoperative bleeding in the arm-reduced surgery was less than common surgery group (114.00±36.79ml versus 139.17±43.03ml P=0.001). Two-armed surgery resulted in an 6.8% reduction in procedure-specific costs. Conclusion Arm reduced robotic-assisted laparoscopic low rectal resection appears to be a cost-effective solution for robotic surgery. Compared with common robot-assisted laparoscopic low rectal cancer, it can reduce the intraoperative time and blood loss without increasing the risk of surgery-related morbidity. This approach has the potential to be a widely preferred surgical approach in low rectal cancer treatment strategies. |
| Key words: low rectal cancer da Vinci robot arm reduction surgery |
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