摘要
目的:探讨达芬奇机器人系统治疗直肠癌的安全性及有效性。方法:回顾分析2010年6月至2011年10月为70例直肠癌患者行达芬奇机器人直肠癌根治术的临床资料。结果:70例均顺利完成手术,无一例中转开腹,无吻合口漏、吻合口狭窄发生,手术时间平均(220.2±50.3)min,系统装配时间平均(10.1±5.4)min,术中出血量平均(55.8±20.2)ml,术后胃肠功能恢复时间平均(2.6±1.6)d;标本残端均无肿瘤细胞残留,平均清扫淋巴结(17.1±4.2)枚;术后平均住院(4.5±2.1)d。术后1例发生骶尾部切口脂肪液化,2例骶尾部切口感染,1例尿潴留,2例肠梗阻,均经保守治疗后好转。随访至2011年10月,患者生活质量良好。结论:达芬奇机器人技术应用于直肠癌根治术安全可行,疗效显著。
Objective：The purpose of this study was to discuss the safety and feasibility of robot-assisted resection of rectal cancer.Methods：The clinical data of 70 patients who underwent robot-assisted resection of rectal cancer from Jun.2010 to Oct.2011 was retrospectively analyzed.Results：All of the patients were operated successfully with no conversion,anastomotic leakage,anastomotic stenosis.The average operative time was（220.2±50.3） min.The mean time of system assembly was（10.1±5.4） min.The mean intraoperative blood loss was（55.8±20.2） ml.The mean postoperative gastro intestinal function recovery time was（2.6±1.6） d.All specimens stump were found with non-cancer cell infiltration,number of harvested lymph node was（17.1±4.2）.The average hospital stay after surgery was（4.5±2.1） d.Postoperative complications occurred in 6 patients,including 1 case of fat liquefaction and 2 cases of infection of sacrococcygeal region incision,1 case of urinary retention and 2 cases of intestinal obstruction.All complications took a favorable turn after conservative treatment.Until Oct.2011 the life quality of all patients were good.Conclusions：Robot-assisted resection of rectal cancer is safe,feasible and effective.
出处
《腹腔镜外科杂志》
2012年第9期677-679,共3页
Journal of Laparoscopic Surgery
关键词
直肠肿瘤
直肠癌根治术
机器人手术
达芬奇手术系统
Rectal neoplasms； Radical resection of rectal cancer； Robot surgery； Da vinci surgical system
作者简介
刘凤涛（1987-）男，南京军区南京总医院普通外科硕士研究生，主要从事胃肠肿瘤方面的学习。
通讯作者：江志伟，E—mail：surgery34@163．com
