全机器人与机器人辅助行远端胃癌根治术近期疗效对照研究  

Comparative study of short-term clinical outcome between Total Da Vinci robotic distal Gastrectomy and Da Vinci robotic-Assisted distal Gastrectomy for gastric cancer

作　　者：熊强强[1] 刘东宁[1] 唐城[1] 曹传林[1] 李太原[1] Xiong Qiangqiang;Liu Dongning;Tang Cheng;Cao Chuanlin;Li Taiyuan(Department of General Surgery,the First Affiliated Hospital of Nanchang University,Jiangxi 330006,China)

机构地区：[1]南昌大学第一附属医院胃肠外科,南昌330000

出　　处：《中华普外科手术学杂志（电子版）》2018年第2期110-114,共5页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的对比全机器人手术与机器人辅助手术根治远端胃癌的近期疗效,评估全机器人远端胃大部切除术的安全性及可行性。方法回顾性分析2014年12月至2016年12月收治的行远端胃大部切除术的160例胃癌患者的临床资料,其中60例行全机器人远端胃大部切除术(TRDG组),100例行机器人辅助远端胃大部切除术(RADG组)。采用SPSS18.0软件进行统计分析,手术相关指标计量资料用(x珋±s)表示,采用独立样本t检验,术后并发症采用χ2检验。P<0.05为差异有统计学意义。结果与RADG组相比,TRDG组手术时间、淋巴结清扫数目和术后并发症差异无统计学意义(P>0.05),但术中出血量,切口长度,术后通气时间以及住院时间均明显减小(P<0.05)。结论全机器人远端胃大部切除术安全可行,且与机器人辅助组相比,其对患者损伤更小,术后恢复更快,近期疗效显著。Objective To compare the short-term clinical outcome between total robotic distal gastrectomy(TRDG grop)and robot-assisted distal gastrectomy(RADG group)for distal gastric cancer,and to evaluate the safety and feasibility of total robotic surgery system. Methods From December 2014 to December 2016,clinical data of 60 cases in TRDG group and 100 cases in RADG group were analyzed retrospectively.Intraoperative indicators and postoperative outcome were compared between two groups.Results There were no significant differences in terms of anastomosis time and harvested lymph nodes between TRDG grop and RADG grop.However there were significant differences in terms of blood loss,incision length,flatus time and hospital stay between TRDG grop and RADG grop(P<0.05).Conclusion Compared with robot-assisted distal gastrectomy,total robotic distal gastrectomy surgery has advantages including less trauma,quicker postoperative recovery and satisfactory short-term outcome.Thus,it is feasible and safe for surgical treatment of distal gastric cancer.

关 键 词：胃肿瘤 机器人 外科手术 微创性 胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]