达芬奇机器人在超低位直肠癌保肛手术中的应用  

The application of Da Vinci robotic surgical system in anus preserving operation of ultra low rectal cancers

作　　者：曾冬竹[1] 张超[1] 唐波[1] 甘露[1] 陈华[1] 雷晓[1] 罗华星[1] 兰远志[1] 余佩武[1] 

机构地区：[1]第三军医大学西南医院全军普通外科中心微创胃肠外科中心,重庆400038

出　　处：《中华结直肠疾病电子杂志》2015年第3期272-274,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的探讨达芬奇机器人手术系统在超低位直肠癌保肛手术中的作用。方法回顾分析第三军医大学西南医院于2010年3月至2014年6月应用达芬奇机器人手术系统完成52例超低位直肠癌前切除手术患者的临床资料。对患者的一般资料、手术情况、并发症的发生、术后恢复及病理性资料进行分析评估。结果 52例患者均顺利完成前切除保肛手术,无中转开腹;手术时间193.7±43.2 min,术中出血量65.5±29.3 ml。淋巴结清扫18.2±5.6枚。远切缘距肿瘤2.4±0.2 cm、无癌细胞残留。术后并发症发生率为13.5%(7/52),其中吻合口瘘5例、肺部感染1例,尿潴留1例,无死亡病例。结论达芬奇机器人手术系统在超低位直肠癌的前切除保肛手术中操作简便安全、创伤小、术后恢复快。Objective To explore the application of Da Vinci robotic surgical system in anus preserving operation of ultra low rectal cancers.Methods Systematically review the 52 patients who underwent the ultra low APR with the Da Vinci robotic surgical system.The general situation, operations, complications,recovery and pathological feature were analyzed.Results All the 52 patients went through the operation successfully with no conversion, and their anus were preserved.The average operation time was 193.7 ±43.2 mins.The blood loss wsa 65.5 ±29.3 ml.The average number of harvested lymph nodes was 18.2 ±5.6.The average distance to tumor is 2.4 ±0.2cm without cancer cell residuing.The post operation complication ratio is 13.5%(7 in 52),in which 5 cases developed anomostosis leakage,1 case pulmonary infection and 1 case urine retention.Conclusion The Da Vinci robotic surgical system in anus preserving operation of ultra low rectal cancers is convenient,safe,with fast recover and small trauma.

关 键 词：直肠肿瘤 外科手术 治疗应用 达芬奇机器人 

分 类 号：R735.37[医药卫生—肿瘤]