论著 Original Article

达芬奇机器人手术系统在胃癌中的应用

Published at: 2015年第35卷第6期

李鹏 1 , 李冰 1 , 刘洪一 1 , 贾宝庆 1
1 解放军总医院肿瘤外一科,北京 100853
通讯作者 宝庆 贾 Email: baoqingjiazw@126.com
DOI: 10.3978/j.issn.2095-6959.10.3978/j.issn.2095-6959.2015.06.045
基金:
国家自然科学基金项目 81171901,2012-2015

摘要

目的:总结应用达芬奇机器人手术系统行胃癌根治术的经验,评价其手术效果及应用价值。方法:回顾性分析我科2011年11月至2014年11月手术治疗的250例胃癌患者的临床、病理资料。其中机器人手术126例,腹腔镜手术124例,比较两组患者手术情况及短期疗效。结果:与腹腔镜组相比,机器人组患者术中失血量少、淋巴结清扫数目多、手术时间长,比较差异有统计学意义(P<0.05);术后胃肠道功能恢复时间、术后住院时间及并发症发生率,比较差异无统计学意义(P>0.05)。中位随访17.2(3~30)个月,机器人组复发转移10例,死亡3例;腹腔镜组复发转移12例,死亡2例。结论:达芬奇机器人手术可在微创条件下实现胃癌的标准D2根治术,手术操作安全,临床效果确实。


Application of the Da Vinci robot operation system in gastric cancer

Abstract

Objective: To summarize the experience of radical gastrectomy operation of Da Vinci system, evaluate its effect and application value. Methods: The clinical and pathological data of 250 patients with gastric cancer in our department from Nov 2011 to Nov 2014 were retrospectively analyzed. A total of 126 patients who experienced robotic gastric cancer and 124 patients who underwent Laparoscopic gastric cancer enrolled in this study. The operative data and short-term postoperative outcomes were compared between the groups. Results: Compared with the laparoscopic group, the robotic group had less intraoperative blood loss, larger numbers of retrieved lymph nodes and longer operation time, and the differences were statistically significant (P<0.05). There were no significant differences in gastrointestinal function recovery time, postoperative hospital stay, and complications between the groups (P>0.05). During a mean follow-up period of 17.2 (range, 3-30) months, 10 patients experienced relapse and metastasis, 3 patients died of the disease in robotic group, while 12 patients experienced relapse and metastasis, 2 patients died of the disease in laparoscopic group. Conclusion: With da Vinci robotic system, the standard D2 gastric cancer radical surgery can be accomplished successfully. It is feasible and safe, and the clinical effect is reliable.


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引用

引用本文: 鹏 李, 冰 李, 洪一 刘, 宝庆 贾. 达芬奇机器人手术系统在胃癌中的应用[J]. 临床与病理杂志, 2015, 35(6): 1103-1106.
Cite this article as: LI Peng, LI Bing, LIU Hongyi, JIA Baoqing . Application of the Da Vinci robot operation system in gastric cancer[J]. Journal of Clinical and Pathological Research, 2015, 35(6): 1103-1106.