行机器人辅助下的胃癌根治术联合胆囊切除术患者的近期疗效观察  

Short-term curative effect of robot-assisted radical gastrectomy combined with cholecystectomy

作　　者：马于祺 杨国渊 万浩浩 马亮 范万琦 毕心然 许永成 何兴龙 张文涛 马云涛[2] MA Yuqi;YANG Guoyuan;WAN Haohao;MA Liang;FAN Wanqi;BI Xinran;XU Yongcheng;HE Xinglong;ZHANG Wentao;MA Yuntao(The First Clinical Medical College,Gansu University of Traditional Chinese Medicine,Gansu Lanzhou 730000,China;Department of General Surgery,Gansu Provincial Hospital,Gansu Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院,甘肃兰州730000 [2]甘肃省人民医院普外一科,甘肃兰州730000

出　　处：《现代肿瘤医学》2024年第21期4106-4110,共5页Journal of Modern Oncology

基　　金：国家卫健委胃肠肿瘤诊治重点实验室课题(编号:NLDTG2022009,NLDTG2020019);甘肃省自然科学基金项目(编号:22JR5RA663)。

摘　　要：目的:探讨机器人辅助下进行的胃癌根治术联合胆囊切除术对患者术后并发症发生及康复情况的影响,提供科学依据以优化临床治疗策略。方法:回顾性分析2019年01月至2023年12月甘肃省人民医院普外科收治的450例行机器人胃癌根治术患者的临床资料。采用倾向性匹配分析,按1∶2比例将仅接受机器人胃癌根治术的患者(n=409)与同时接受机器人胃癌根治术和胆囊切除术的患者(n=41)进行匹配。对比分析两组患者的术后近期疗效,包括术中出血、住院时间及术后并发症发生率。结果:同时进行胆囊切除术的患者手术时间显著长于仅接受机器人胃癌根治术的患者(P<0.05)。然而,两组患者在术中出血、住院时间和术后并发症发生率方面比较,差异均无统计学意义(P>0.05)。结论:在伴有胆囊疾病的胃癌患者中,同时进行胃癌根治术和胆囊切除术是安全可行的。Objective:To examine the impact of robot-assisted radical gastrectomy combined with cholecystectomy on postoperative complications and patient recovery in gastric cancer,aiming to establish a more scientific foundation for clinical treatment.Methods:Clinical data from 450 patients who underwent robotic radical gastrectomy for gastric cancer and were admitted to the General Surgery Department of Gansu Provincial Hospital between January 2019 and December 2023 were retrospectively analyzed.Employing propensity-matched analysis,patients who underwent robotic gastrectomy alone(n=409)were paired with patients who underwent both robotic radical gastric cancer surgery and cholecystectomy(n=41)in a 1∶2 ratio.The study compared the recent postoperative outcomes of two groups of patients,including intraoperative bleeding,hospitalization time,and incidence of postoperative,complications.Results:Patients who underwent concomitant cholecystectomy had a significantly longer operating time compared to those who underwent robotic gastric cancer surgery alone(P<0.05).There were no statistically significant differences between the two groups regarding intraoperative bleeding,hospitalization time,and postoperative complication rates(P>0.05).Conclusion:Imultaneous radical gastric cancer surgery and cholecystectomy are deemed safe and feasible for gastric cancer patients with concurrent gallbladder disease.

关 键 词：胃癌 胃切除术 胆囊结石 胆囊切除术 机器人手术 并发症 

分 类 号：R735.2[医药卫生—肿瘤]