达芬奇机器人与开腹手术治疗直肠癌的近期疗效对比研究  

Comparison of Recent Clinical Efficacy between Da Vinci Robotic System Surgery and Open Surgery for Radical Rectal Cancer Resection

作　　者：卢旭 孙正[1] 王兆京[1] 曹勤洪[1] 陈彻[1] 吴晓宇[1] LU Xu;SUN Zheng;WANG Zhao-jing;CAO Qin-hong;CHEN Che;WU Xiao-yu(Department of Digestive Oncology Surgery,Jiangsu Provincial Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210029,China)

机构地区：[1]江苏省中医院南京中医药大学附属医院消化系肿瘤外科,江苏南京210029

出　　处：《现代生物医学进展》2025年第7期1176-1182,1247,共8页Progress in Modern Biomedicine

基　　金：国家自然科学基金面上项目(82174466)。

摘　　要：目的:比较开腹手术与达芬奇机器人治疗直肠癌的近期临床疗效和安全性。方法:回顾性分析2020年9月至2021年2月在江苏省中医院消化系肿瘤外科初诊直肠癌并接受了直肠癌根治术的79名患者的临床资料。根据患者接受的手术类型不同,将其分为开腹手术组(n=43)和达芬奇机器人手术组(n=36),比较两组患者的一般情况、手术时长、术中出血量、手术方式选择、术中出血量、术后胃肠功能恢复时间、术后流质饮食开始时间、住院总体费用和术后手术相关并发症(出血、吻合口漏、腹腔感染、切口感染)发生率以及术后病理结果。结果:两组患者手术均顺利完成,无围手术期死亡病例,术后患者均顺利出院。两组手术患者临床一般资料无统计学差异(P>0.05)。两组手术患者手术时长(P=0.08)、具体手术方式选择(P=0.38)、术后导尿管留置天数(P=0.34)、术后腹腔引流管留置天数(P=0.57)、术后住院天数(P=0.15)、术后并发症发生率(P>0.05)、术后病理结果分析(P>0.05)对比无统计学差异,但是机器人组术中出血量较少(P<0.01),术后胃肠功能恢复时间(P=0.04)与术后流质饮食开始时间(P<0.01)较短,住院总体费用较高(P<0.01)。结论:达芬奇机器人直肠癌根治术安全有效,虽然患者的总住院费用相对较高,但手术出血量更少,更有利于患者术后胃肠功能的恢复。Objective:To compare the short-term clinical efficacy between Da Vinci robotic system surgery and open surgery for radical rectal cancer resection.Methods:The clinical data of 79 patients who were newly diagnosed with rectal cancer and underwent radical rectal cancer resection in the Department of Digestive Oncology of Jiangsu Provincial Hospital of Chinese Medicine from September2020 to February 2021 were retrospectively analyzed.According to the different types of surgeries they underwent,the patients were divided into open surgery group( n=43) and Da Vinci robotic system surgery group( n=36),and the general data,duration of surgery,surgical technique,blood loss of surgery,time to intestinal function recovery,time to liquid diet,time to urinary catheter removal,time to abdominal catheter removal,duration of postoperative hospitalization,incidence of postoperative complications( bleeding,anastomotic leakage,abdominal infection,incision infection) and postoperative pathological results of the two groups were compared.Results:The patients in both groups were successfully operated on,and there were no perioperative deaths,and all patients were discharged from the hospital after surgery.There was no statistically significant difference in the clinical general data of the two groups( P>0.05),so the two groups were comparable.There were no statistically significant differences between the two groups in terms of time to duration of surgery( P=0.08),surgical technique( P=0.38),urinary catheter removal( P=0.34),time to abdominal catheter removal( P=0.57),duration of postoperative hospitalization( P=0.15),incidence of postoperative complications( P>0.05) and analysis of postoperative pathological results( P>0.05),but robotic system surgery group has less intraoperative blood loss( P<0.01),time to intestinal function recovery( P=0.04),time to liquid diet( P<0.01),and more overall hospitalization cost( P<0.01).Conclusions:Da Vinci robotic radical rectal cancer surgery is safe and effective,in addition to the relatively high

关 键 词：达芬奇机器人 开腹手术 直肠癌根治术 近期疗效 

分 类 号：R3[医药卫生—基础医学] R735.37