达芬奇机器人与胸腔镜根治手术治疗非小细胞肺癌效果比较  

Da Vinci robot system versus video-assisted thoracoscopy for the patients with radical surgery of non-small cell lung cancer: a case control study

作　　者：杨伦[1,2] 喻本桐 张智[1,2] 龚琰龙[1,2] 黄云鹤[1,2] 姜龙沅 YANG Lun1,2, YU Bentong2 ,ZHANG Zhi1,2, GONG Yanlong1,2, HUANG Yunhe1,2 ,JIANG Longyuan1,2(1.Nanchang University Medical School, Nanchang 330006, China ; 2.Department of Thoracic Surgery, the First Affiliated Hospital of Nanchang Universit)

机构地区：[1]南昌大学医学院,江西南昌330006 [2]南昌大学第一附属医院胸外科

出　　处：《潍坊医学院学报》2018年第1期73-75,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨应用达芬奇机器人手术系统行非小细胞肺癌根治术的可行性和安全性。方法收集2016年3月~9月在本院胸外科实施的非小细胞肺癌根治术患者73例,其中达芬奇机器人手术组患者22例,男、女各11例。使用胸腔镜进行手术组患者51例,其中男24例,女27例。两组患者均行肺叶切除术且同期行肺门、纵隔淋巴结清扫术。分析比较两组临床效果。结果达芬奇机器人组22例患者全部在达芬奇机器人手术系统下完成手术,未中转开胸。胸腔镜组51例患者,49例在胸腔镜下顺利完成手术,2例中转开胸手术。两组术中平均手术时间、清扫淋巴结数比较,差异有统计学意义。结论应用达芬奇机器人手术系统行非小细胞肺癌根治术安全、有效,且手术的操作灵活度大大提高,术中可清扫更多的淋巴结。Objective To discuss the feasibility and safety of da Vinci robotic radical surgery for patients with non-small cell lung cancer. Methods Seventy-three clinical cases of patients with radical surgery of non-small cell lung cancer in the department of thoracic surgery,the first affiliated hospital of Nanchang university between March 2016 and September 2016 were collected. Twenty-two patients underwent radical operation of lung cancer with Da Vinci Robot System were allocated into a robot group with 11 males and 11 females. Another 51 patients with radical surgery by videoassisted thoracoscopic surgery were allocated into a thoracoscopic group with 24 males and 27 females. Both groups underwent lobectomy and simultaneous hilar and mediastinal lymph node dissection. The clinical effect of the two groups was compared. Results All 22 patients in the da Vinci robot group underwent the operation under the da Vinci robotic surgery system,but were not transferred to open the chest. In the thoracoscopic group,two patient was converted to thoracotomy. The statistical differences were shown in the amount of lymph node number and time of operation. Conclusion Da Vinci robotic surgery system for patients with non-small cell lung cancer radical surgery is safe,effective,and clean more lymph node than Video-assisted thoracoscopy.

关 键 词：达芬奇机器人 胸腔镜 非小细胞肺癌 肺癌根治术 

分 类 号：R655.3[医药卫生—外科学]