摘要
目的:探究人工扶镜与机器人辅助扶镜下腹腔镜结直肠癌手术患者的临床疗效差异。方法:采用前瞻性研究方式,选2021年1月—2023年6月于蚌埠医科大学第二附属医院实施腹腔镜结直肠癌手术的100例患者,将其简单随机分为对照组和研究组(每组50例)。对照组接受常规人工扶镜干预下的腹腔镜结直肠癌手术,研究组则接受机器人辅助扶镜干预下的腹腔镜结直肠癌手术。比较两组患者术中指标、术后康复指标以及术后12 h、24 h、36 h、48 h疼痛评分、并发症发生情况、主刀医生的手术感受。结果:与对照组相比,研究组手术完成时间更短,手术出血量更少,术后引流管拔除时间、住院时间更短,住院费用更少,术后24 h、36 h、48 h VAS评分更低,并发症发生率更低,并发症严重程度更轻,手术效率、手术精力充沛度、工作舒适度得分及总分更高。结论:机器人辅助扶镜更能提高腹腔镜结直肠癌患者的手术效率及康复效率,降低术后并发症发生率,改善术后疼痛,提高主刀医生的手术感受。
Objective:To explore the difference of clinical efficacy in patients undergoing laparoscopic colorectal cancer surgery with manual and robot-assisted camera holding.Methods:100 patients who underwent laparoscopic colorectal cancer surgery in the Second Affiliated Hospital of Bengbu Medical University from June 2021 to January 2023 were selected and prospectively studied.They were randomly divided into the control group and the study group(n=50).The control group received laparoscopic colorectal cancer surgery with manual camera holding,and the study group received the same surgery with the robot-assisted camera holding.Intraoperative indexes,postoperative rehabilitation indexes,pain scores at 12 h,24 h,36 h,48 h after surgery,complications,and operative feelings of surgeons were compared between the two groups of patients.Results:Compared with the control group,the study group had shorter operative time,less bleeding,shorter time of drain removal,shorter length of hospital stay,lower hospitalization cost,lower postoperative VAS scores at 24 h,36 h and 48 h after surgery,lower complication rate and less severe complications,but higher operative efficiency,operative energy,working ease scores and total scores.Conclusion:Robot-assisted camera holding can improve the efficiency of laparoscopic colorectal cancer surgery,improve rehabilitation efficiency,reduce postoperative complications and postoperative pain,and improve the operating experience of surgeons.
作者
崔皖晋
褚亮
周少波
CUI Wanjin;CHU Liang;ZHOU Shaobo(Department of General Surgery,the Second Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)
基金
安徽省高校协同创新项目计划(GXXT-2019-014)。
关键词
机器人辅助扶镜
腹腔镜手术
结直肠癌手术
Robot-assisted Camera Holding
Laparoscopic Surgery
Colorectal Cancer Surgery
