三孔达芬奇机器人辅助肺癌根治术的临床疗效分析  

Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer

作　　者：张潇文 方韶韩 冯义辉 刘经纬 潘剑云 单隆昱 王志林 耿国军[2] 姜杰[2] ZHANG Xiaowen;FANG Shaohan;FENG Yihui;LIU Jingwei;PAN Jianyun;SHAN Longyu;WANG Zhilin;GENG Guojun;JIANG Jie(Second Department of Thoracic Surgery,The First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen,361003,Fujian,P.R.China;Second Department of Thoracic Surgery,The First Affiliated Hospital of Xiamen University,Xiamen,361003,Fujian,P.R.China)

机构地区：[1]厦门大学附属第一医院胸外二科,厦门大学医学院,福建厦门361003 [2]厦门大学附属第一医院胸外二科,福建厦门361003

出　　处：《中国胸心血管外科临床杂志》2023年第5期678-682,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：福建省自然基金(2020J01122609);厦门市科技局课题(3502Z20189007)。

摘　　要：目的探讨三孔达芬奇机器人辅助肺癌根治术的临床疗效。方法回顾性分析2021年4月—2022年3月于厦门大学附属第一医院胸外二科行达芬奇机器人辅助肺癌根治术患者的临床资料。根据手术孔位数,将患者分为三孔组(三孔达芬奇机器人辅助)和四孔组(传统四孔达芬奇机器人辅助),对比分析两组患者手术时间、术中出血量、淋巴结清扫数、胸腔引流总量、拔管时间、术后并发症以及术后疼痛情况。结果共纳入58例患者,其中男19例、女39例,年龄31~79岁。三孔组21例,四孔组37例。三孔组术后第1 d及第3 d视觉模拟评分分别为(4.33±1.20)分、(2.24±0.77)分,四孔组分别为(5.11±1.22)分、(2.78±1.06)分,组间差异有统计学意义(P<0.05)。两组患者手术时间、术中出血量、淋巴结清扫数、术后胸腔引流量、胸腔引流管留置时间、术后并发症差异均无统计学意义(P>0.05)。结论三孔达芬奇机器人辅助肺癌根治术在不增加手术难度及并发症情况下可减轻患者术后疼痛感,可在临床推广应用。Objective To investigate the clinical effect of three-port Da Vinci robot-assisted radical resection of lung cancer.Methods The clinical data of patients who underwent Da Vinci robot-assisted radical resection of lung cancer in the Second Department of Thoracic Surgery,the First Affiliated Hospital of Xiamen University from April 2021 to March 2022 were retrospectively analyzed.According to the number of surgical ports,they were divided into two groups:a three-port group(three-port Da Vinci robot-assisted radical resection of lung cancer),and a four-port group(traditional Da Vinci robot-assisted radical resection of lung cancer).The operation time,intraoperative bleeding,lymphadenectomy,total thoracic drainage,extubation time,postoperative complications and postoperative pain of the two groups were compared and analyzed.Results A total of 58 patients were included,including 19 males and 39 females,aged 31-79 years.There were 21 patients in the three-port group,and 37 patients in the four-port group.The visual analogue scores on the first and third day after the operation were 4.33±1.20 points and 2.24±0.77 points in the three-port group,and 5.11±1.22 points and 2.78±1.06 points in the four-port group,and there were statistical differences between the two groups(P<0.05).There was no significant difference between the two groups in terms of operation time,intraoperative bleeding,lymph node dissection,postoperative thoracic drainage,time of thoracic tube insertion or postoperative complications(P>0.05).Conclusion Three-port Da Vinci robot-assisted radical resection of lung cancer can reduce the postoperative pain without increasing the operation difficulty and complications,and can be widely used in the clinical practice.

关 键 词：达芬奇机器人 三孔法 肺癌 疼痛 治疗 手术 

分 类 号：R734.2[医药卫生—肿瘤]