摘要
目的比较机器人辅助下远端胃癌根治术与同期腹腔镜手术的短期疗效及围术期状况。方法回顾分析2016年1月-2017年1月在本院实施的99例远端胃癌根治术患者的临床资料,其中机器人手术组(R组)41例,腹腔镜手术组(L组)58例,两组患者具可比性(P>0.05)。结果两组患者手术切口长度、排气时间、开始进流食天数、术后住院天数、淋巴结清扫数、术后总并发症发生率差异均无统计学意义(P>0.05)。机器人手术组手术时间较腹腔镜组明显延长[(220.2±36.7)min vs(170.4±67.6)min,P<0.000 1],但术中出血量较腹腔镜组明显减少[(101.4±50.7)ml vs(138.1±73.9)ml,P<0.05],且机器人手术组围术期费用较腹腔镜手术组明显增加[(11.11±2.76)万元vs(8.88±2.61)万元,P<0.01]。结论机器人远端胃癌根治术可取得与腹腔镜手术相似的手术短期疗效及肿瘤根治效果,但手术时间及围术期费用并无优势。
Objective To compare the clinical outcomes and costs of robot-assisted versus laparoscopic radical surgery for patients with gastric cancer. Methods Clinical data about 99 patients who underwent distal gastrectomy in Chinese PLA General Hospital from January 2016 to January 2017 were retrospectively analyzed. There were 41 cases in robot-assisted group （R group） and 58 cases in laparoscopic group （L group）. Results There was no significant difference in length of incision, time to exhaust, time to liquid food intake, hospital stay, the number of harvested lymph node and postoperative complication rate between R group and L group （All P ＞ 0.05）. The operating time of R group was significant longer than that of L group [（220.2±36.7） min vs （170.4±67.6） min, P ＜ 0.000 1]. However, the blood loss of R group was significantly less than that of L group [（101.4±50.7） ml vs （138.1±73.9） ml, P ＜ 0.05]. Moreover, the costs of R group were higher than that of L group [（11.11±2.76） ten thousand yuan vs （8.88±2.61） ten thousand yuan, P ＜ 0.01]. Conclusion Robot-assisted distal gastrectomy is safe and effective, and it has the same clinical effect as laparoscopic gastrectomy. However, the operating time and costs of robot-assisted gastrectomy show no advantage when compared with laparoscopic gastrectomy.
出处
《解放军医学院学报》
CAS
2017年第12期1095-1097,共3页
Academic Journal of Chinese PLA Medical School
基金
国家自然科学基金项目(61471397)~~
作者简介
滕达，男，硕士，医师。研究方向：胃肠道肿瘤的微创治疗。Email：tnttd2@163．com;通信作者：杜晓辉，男，博士，主任医师，教授，博士生导师。Email：duxiaohui301@sina．com
