达芬奇机器人辅助肾切除四例  

Preliminary experience of nephrectomy by Da Vinci robot-assisted laparoscopic surgery:a report of 4 cases

作　　者：范连慧[1] 何龙[1] 吴晓倩[2] 李昕[1] 刘龙[1] 向军[1] 

机构地区：[1]沈阳军区总医院泌尿外科,辽宁沈阳110016 [2]中国人民解放军第463医院,辽宁沈阳110042

出　　处：《海南医学》2013年第21期3216-3218,共3页Hainan Medical Journal

摘　　要：目的总结应用达芬奇机器人腹腔镜行肾脏切除的初步经验,探讨该技术在肾脏切除术方面的可行性及安全性。方法沈阳军区总医院2011年应用达芬奇机器人技术行肾脏切除术4例;其中肾癌2例,肿瘤直径分别为4 cm及5 cm(T1N0MO);肾盂肿瘤2例(T1NOMO)。收集围手术期资料进行分析。结果 4例患者均在达芬奇机器人辅助腹腔镜下成功施行,平均手术时间为(120.8±30.1)min,机器人外科手术系统定位的平均时间为(15.3±3.8)min,术中失血量平均为(68±29)ml。所有患者均按期出院,术后均无继发性出血等并发症发生。结论应用达芬奇机器人腹腔镜行肾脏切除术的创伤小、安全可靠,且疗效确切。随着手术者操作熟练程度的提高,机器人腹腔镜在泌尿外科的优势将更加明显。Objective To summarize the clinical experience of Da Vinci robot-assisted laparoscopic surgery in nephrectomy and to discuss its feasibility and safety.Methods Four patients received nephrectomy with Da Vinci robot-assisted laparoscopic surgery in 2011,which includes 2 patients of renal carcinoma （4 cm and 5 cm in diameter,T1N0MO） and 2 patients of pyelo carcinoma （T1NOMO）.The perioperative data was collected and analyzed.Results All surgeries were done by the Da Vinci 2.0 HD system successfully.The mean operative time was （120.8±30.1） min,the docking time of Da Vinci surgical system was （15.3±3.8） min in average,and the mean estimated blood loss was （68±29） ml.There was no complications such as secondary hemorrhage in the peroperative Period.All the patients discharged from hospital on time.Conclusion Da Vinci robot-assisted laparoscopic surgery is mini-invasive,safe and reliable in nephrectomy.The advantages of Da Vinci robot-assisted laparoscopic surgery will be apparent when the operator becomes more experienced.

关 键 词：机器人辅助腹腔镜 肾切除 可行性 安全性 

分 类 号：R699.2[医药卫生—泌尿科学]