摘要
目的探讨达芬奇机器人远端胃癌根治术对胃癌的近期临床疗效。方法回顾性分析2019年1月至2020年6月期间60例胃癌患者的临床资料,按照术式不同分为腔镜组和机器人组,每组纳入30例。应用SPSS 26.0软件进行数据分析。客观缓解率、术后并发症发生率、近期疗效等计数资料行χ^(2)检验;围术期指标、疼痛评分、生存质量评分等计量资料(±s)行独立t检验,P<0.05差异有统计学意义。结果两组手术时间和客观缓解率在机器人组、腔镜组(80.0%、73.3%)中差异无统计学意义(P>0.05);与腔镜组相比,机器人组术中淋巴结清扫数量多、术中出血量少、术后并发症发生率在机器人组中为0%,低于腔镜组13.3%(P<0.05)。术后肠鸣音恢复时间、首次排气时间、首次进食时间、住院时间在机器人组中均缩短,术后12至48 h的疼痛评分在机器人组中低于腔镜组(P<0.05)。术后随访1个月,生存质量评分在机器人组中高于腔镜组(P<0.05)。结论达芬奇机器人辅助远端胃癌根治术对胃癌的近期疗效与腹腔镜胃癌根治术相当,可有效地减轻手术创伤,减少术后并发症,加快术后恢复,有利于提高术后生存质量。
Objective To investigate the short-term clinical outcome of da Vinci robot-assisted radical distal gastrectomy in treating gastric neoplasms.Methods The clinical data of 60 patients with gastric neoplasms from January 2019 to June 2020 were analyzed retrospectively.According to the method of operation,60 patients were divided into laparoscopic group(30 cases)and robot group(30 cases).Statistical analysis were performed by using SPSS 26.0 software.Count data such as objective remission rate,incidence of postoperative complications and short-term curative effect were analyzed by usingχ^(2) test.Measurement data such as perioperative index,pain score and quality of life score were expressed as,and were examined by using independent t test.A P value of<0.05 was considered as statistically significant difference.Results There was no significant difference between robot group and laparoscopic group in terms of operation time and objective remission rate of 80.0%and 73.3%(P>0.05)Compared with the laparoscopic group,much more harvested lymph nodes,less intraoperative bleeding and decreased postoperative complications(0%vs.13.3%)were achieved in the robot group(P<0.05).The recovery time of bowel movement,the first time of exhaust,the first time of eating and the time of hospitalization in the robot group were shorter than those in the laparoscopic group respectively(P<0.05).The pain score of postoperative 12 h and 48 h in the robot group was significantly decreased(P<0.05).Within 1 month followed-up,the score of life quality in the robot group was much higher than that in the laparoscopic group(P<0.05).Conclusion Da Vinci robot-assisted radical distal gastrectomy for gastric neoplasms could achieve similar short-term clinical outcome as well as laparoscopic surgery,furthermore with reduced surgical trauma,decreased postoperative complications,enhanced postoperative recovery and improved quality of life.
作者
佟贵繁
汤东
王道荣
Tong Guifan;Tang Dong;Wang Daorong(Graduate school,Dalian medical university,Liaoning 116004,China;Department of General Surgery,General Surgery Institute of Yangzhou city,Northern Jiangsu Province Hospital,Clinical Medical College,Yangzhou University,Jiangsu 225001,China)
出处
《中华普外科手术学杂志（电子版）》
2021年第5期517-520,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
江苏省第五期“333工程”培养资金资助项目(BRA2017153)。
关键词
胃肿瘤
腹腔镜
达芬奇机器人
疗效比较研究
Stomach neoplasms
Laparoscopes
Leonardo’s robot
Comparative effectiveness research
