数字化引流系统在达芬奇机器人肺叶切除术后应用的回顾性队列研究  

Application of digital drainage system after da Vinci robot-assisted lobectomy:A retrospective cohort study

作　　者：成名 丁仁泉 徐惟 王希龙 王述民 CHENG Ming;DING Renquan;XU Wei;WANG Xilong;WANG Shumin(Department of Thoracic Surgery,General Hospital of Northern Theater Command,Shenyang,110016,P.R.China)

机构地区：[1]中国人民解放军北部战区总医院胸外科,沈阳110016

出　　处：《中国胸心血管外科临床杂志》2024年第3期403-407,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：辽宁省博士科研启动基金计划项目(2021-BS-033)。

摘　　要：目的 探究数字化引流系统(digital drainage system,DDS)在机器人肺叶切除术后患者中的临床应用效果。方法 回顾性分析2020年8月—2021年12月中国人民解放军北部战区总医院行达芬奇机器人肺叶切除手术患者的临床资料。根据术后采用的不同引流装置分为DDS组和常规组(术后采用传统单胸腔引流管装置)。比较两组患者术前资料以及术中出血量、术后48 h内总引流量、术后拔管时间和术后住院时间。结果 纳入患者170例,其中男76例、女94例,平均年龄(61.8±8.7)岁。DDS组术后拔管时间[5.53(6.00,7.00)d vs.6.36(6.00,8.00)d,Z=–2.467,P=0.014]、术后住院时间[7.80(8.00,10.00)d vs. 8.94(9.00,10.00)d,Z=–2.364,P=0.018]短于常规组。对于术后出现持续性肺漏气患者,DDS组术后拔管时间(Z=–2.786,P=0.005)和术后住院时间(Z=–2.862,P=0.003)比常规组更短。结论 DDS有利于机器人肺叶切除术后患者康复,缩短平均住院时间,具有安全性和稳定性。Objective To investigate the clinical effect of digital drainage system(DDS)in patients after robotassisted lobectomy.Methods The clinical data of the patients who underwent da Vinci robot-assisted lobectomy from August 2020 to December 2021 were retrospectively analyzed.The patients were divided into a DDS group and a conventional group(using traditional single thoracic drainage tube device)according to different drainage devices used after operation.The preoperative data,intraoperative blood loss,total drainage volume within 48 h after operation,postoperative extubation time and postoperative hospital stay were compared between the two groups.Results Finally,170 patients were collected,including 76 males and 94 females with an average age of 61.8±8.7 years.Postoperative extubation time[5.53(6.00,7.00)days vs.6.36(6.00,8.00)days,Z=–2.467,P=0.014]and postoperative hospital stay[7.80(8.00,10.00)days vs.8.94(9.00,10.00)days,Z=–2.364,P=0.018]in the DDS group were shorter than those in the conventional group.For patients with postoperative persistent air leak,postoperative extubation time(Z=–2.786,P=0.005)and postoperative hospital stay(Z=–2.862,P=0.003)in the DDS group were also shorter than those in the conventional group.Conclusion DDS has a positive effect on enhanced recovery after robot-assisted lobectomy,which is safe and stable,and is beneficial to postoperative rehabilitation and shortening the average hospital stay.

关 键 词：数字化引流系统 达芬奇机器人 肺叶切除 加速康复外科 

分 类 号：R655.3[医药卫生—外科学]