机器人手术系统辅助结肠癌手术13例  

Robotic-assisted laparoscopic colectomy for colon cancer： a report of 13 cases

作　　者：鲍扬[1] 江志伟[1] 谢立飞[1] 刘凤涛[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院全军普通外科研究所,210002

出　　处：《中华胃肠外科杂志》2011年第5期327-329,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：江苏省社会发展基金（BS2007054）;南京军区科技创新基金（072028）

摘　　要：目的探讨达芬奇机器人手术系统辅助结肠癌手术的安全性与可行性。方法回顾性总结2010年5-11月实施的13例达芬奇机器人手术系统辅助结肠癌手术的治疗效果。结果13例结肠癌患者行右半结肠切除5例、左半结肠切除3例、乙状结肠切除5例。手术均顺利完成，无中转开腹。手术时间（171．5±31．8）min，术中失血量（54．6±21．8）ml，术后肠蠕动恢复时间为（60．9±15．8）h，术后住院时间（6．4±3．6）d。术后除1例切口脂肪液化外，未出现出血、吻合口瘘、吻合口狭窄等并发症。结论达芬奇机器人手术系统应用于结肠癌手术安全可行。Objective To investigate the safety and feasibility of robotic-assisted laparoscopic colectomy for colonic cancer. Methods The clinical outcomes of 13 patients with colon cancer undergoing robotic-assisted laparoscopic colectomy from May 2010 to November 2010 were retrospectively evaluated. Results All the operations were performed successfully, including 5 right colectomies, 3 left colectomies, and 5 sigmoidectomies. The operative time was （171.5±31.8） minutes. The estimated blood loss was （54.6±21.8） ml. Time to the return of bowel function was （60.9±15.8） hours and postoperative hospital stay was （6.4±3.6） days. There was one patient developed fat liquefaction at the incision. No bleeding, anastomotic fistula, anastomotic stenosis, or other complications were found. Conclusion Robotic-assisted laparoscopic colectomy is safe and feasible for colon cancer resection.

关 键 词：结肠肿瘤 结肠切除术 达芬奇系统 

分 类 号：R735.35[医药卫生—肿瘤]