达芬奇机器人辅助腹腔镜切除术治疗肝脏良性肿瘤效果观察  

Efficacy observation of Da Vinci robotic-assisted laparoscopic resection for liver benign tumors

作　　者：林圣哲 李戈 潘韡[1] 陈江枝[1] 蔡欣然[1] 陈燕凌[1] Lin Shengzhe;Li Ge;Pan Wei;Chen Jiangzhi;Cai Xinran;Chen Yanling(Department of Hepatobiliary Surgery,Fujian Institute of Hepatobiliary Surgery,Fujian Medical University Union Hospital,Fujian Medical University Cancer Center,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院肝胆外科,福建省肝胆外科研究所,福建医科大学肿瘤中心,福州350001

出　　处：《肿瘤研究与临床》2021年第10期760-762,共3页Cancer Research and Clinic

摘　　要：目的探讨达芬奇机器人辅助腹腔镜手术切除肝脏良性肿瘤的安全性及可行性。方法回顾性分析2016年1月至2019年12月福建医科大学附属协和医院就诊的62例行肝脏良性肿瘤切除术患者的临床资料, 其中达芬奇机器人辅助腹腔镜下肝良性肿瘤切除术25例(机器人组), 传统腹腔镜肝脏良性肿瘤切除术37例(腹腔镜组)。对比两组患者手术时间、手术出血量、术后引流管拔除时间、手术并发症发生率、术后住院时间。结果 62例患者手术均顺利完成。机器人组手术时间长于腹腔镜组[(192±52)min比(158±41)min], 机器人组手术出血量少于腹腔镜组[(159±67)ml比(213±59)ml], 两组差异均有统计学意义(均P<0.05)。机器人组和腹腔镜组术后腹腔引流管拔除时间分别为(7.0±1.5)d和(7.2±1.3)d, 术后并发症发生率分别为8.0%(2/25)和5.4%(2/37), 术后住院时间分别为(7.0±2.4)d和(7.3±2.2)d, 两组间差异均无统计学意义(均P>0.05)。结论达芬奇机器人辅助腹腔镜手术切除肝脏良性肿瘤具有创伤小、出血量少等优势, 是治疗肝脏良性肿瘤的一种安全而有效的方法。Objective To explore the safety and feasibility of Da Vinci robotic-assisted laparoscopic resection in treatment of liver benign tumors.Methods The clinical data of 62 patients with liver benign tumors admitted to Fujian Medical University Union Hospital from January 2016 to December 2019 were retrospectively analyzed.All patients were divided into 2 groups:25 cases undergoing Da Vinci robotic-assisted laparoscopic resection(the robotic group)and 37 cases undergoing conventional laparoscopic resection for liver benign tumors(the laparoscopic group).The operation duration,intraoperative blood loss,postoperative abdominal drainage tube removal time,incidence of postoperative complications,postoperative hospital stay time of both groups were compared.Results Operations of all 62 patients were successfully completed.The operation time of the robotic group was longer than that of the laparoscopic group[(192±52)min vs.(158±41)min],intraoperative blood loss of the robotic group was less than that of the laparoscopic group[(159±67)ml vs.(213±59)ml],and differences were statistically significant between the two groups(both P<0.05).The postoperative abdominal drainage tube removal time of the robotic group and the laparoscopic group was(7.0±1.5)d and(7.2±1.3)d,the incidence of postoperative complications was 8.0%(2/25)and 5.4%(2/37),and the postoperative hospital stay time was(7.0±2.4)d and(7.3±2.2)d,respectively;and differences were statistically significant between both groups(all P>0.05).Conclusion Da Vinci robotic-assisted laparoscopic resection is a safe and effective operation method in treatment of liver benign tumors with advantages of small wound and less blood loss.

关 键 词：肝肿瘤 腹腔镜 肝切除术 机器人外科手术 

分 类 号：R735.7[医药卫生—肿瘤]