机器人辅助多脏器切除在治疗结直肠癌中的应用  

Robotic assisted multivisceral resection for colorectal cancer

作　　者：池诏丞[1] 王灿 许亚明[1] 严京哲[1] 李泽[1] 刘学伟[1] 程龙伟 邢宝成[1] Chi Zhaocheng;Wang Can;Xu Yaming;Yan Jingzhe;Li Ze;Liu Xuewei;Cheng Longwei;Xing Baocheng(Department of Colorectal and Stomach Cancer Surgery-2,Jinlin Cancer Hospital,Changchun 130021,China)

机构地区：[1]吉林省肿瘤医院结直肠胃腹部肿瘤外二科,长春130021

出　　处：《中华腔镜外科杂志（电子版）》2018年第4期224-227,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨机器人辅助多脏器切除治疗结直肠癌的安全性及可行性。方法回顾分析2014年11月至2017年12月吉林省肿瘤医院收治的13例结直肠患者的临床资料,选择机器人辅助联合多脏器切除术作为治疗策略。分析患者的一般资料、手术结果及肿瘤学结果。结果全组患者中男7例、女6例,中位年龄60岁,其中直肠癌5例、乙状结肠癌8例;行整块切除7例,联合肝部分切除2例、小肠部分切除3例、子宫切除3例、卵巢切除4例、膀胱及输尿管部分切除1例、右半结肠切除1例。全组中位手术时间为225 min(90~360 min)、中位出血量50 ml(15~600 ml),无术中输血。全组共中转手术5例,其中计划性中转手术3例、非计划性中转手术2例。所有患者均达到R0切除,无围手术期死亡,发生术后并发症2例。结论机器人辅助多脏器切除治疗结直肠癌是安全、可行的。Objective To assess the safety and feasibility of robotic- assisted multivisceral resection for advanced colorectal cancer. Methods From Nov. 2014 to Dec. 2017, patients who underwent robotic- assisted multivisceral resection for colorectal cancer were investigated. Patient demographics, treatment characteristics, perioperative outcomes, and pathological results were evaluated retrospectively. Results There were 13 patients; 7 men and 6 women, with a median age of 60 years. 5 patients had rectal cancer, 8 patients had sigmoid cancer, 7 patients had a cT4b tumor, and underwent complete resection of the primary tumor. The resected organ were the part of liver （ n =2）, small intestine（ n =3）, uterus（ n =3）, ovary（ n =4）, bladder with ureter（ n =1） and right- side colon（ n =1）. The median operative time was 225 min （range 90- 360 min）, and the median blood loss was 50 ml （range 15- 600 ml）. None of the patients received intra- operative blood transfusions.There were 5 patients required conversion, 3 patients were planned, 2 were unplanned. All patients were R0 resection, and no peri- operative death occurred. Postoperative complications occurred in 2 patients. Conclusions Robotic- assisted multivisceral resection for colorectal cancer is safe and technically feasible.

关 键 词：机器人手术系统 结直肠肿瘤 多脏器切除 

分 类 号：R735.34[医药卫生—肿瘤]