机器人结直肠癌根治术的初步应用体会

doi:10.3877/cma.j.issn.2095-3224.2016.05.015

中华结直肠疾病电子杂志 ›› 2016, Vol. 05 ›› Issue (05) : 444 -446. doi: 10.3877/cma.j.issn.2095-3224.2016.05.015

所属专题：机器人手术；文献；

经验交流

机器人结直肠癌根治术的初步应用体会

王首寒¹, 王斌¹, 陈佳祺¹, 孙小单²^,^†(

)

^1. 130012　长春，吉林省肿瘤医院腹部肿瘤外三科
^2. 吉林省肿瘤医院妇瘤二科

收稿日期:2016-05-19 出版日期:2016-10-25
通信作者: 孙小单

Early experience of robot-assisted laparoscopic radical resection for colorectal carcinoma

Shouhan Wang¹, Bin Wang¹, Jiaqi Chen¹, Xiaodan Sun²^,^†()

^1. Department of Abdominal Oncology, Jilin Province Tumor Hospital, Changchun, 130012, China
^2. Department Gynecologic Oncology, Jilin Province Tumor Hospital, Changchun, 130012, China

Received:2016-05-19 Published:2016-10-25
Corresponding author: Xiaodan Sun
About author:
Corresponding author: Sun Xiaodan, Email: 15640584861@163.com.

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目的

探讨达芬奇机器人手术系统应用于结直肠癌手术的初步体会。

方法

回顾性收集吉林省肿瘤医院腹部肿瘤科2014年10月至2016年5月的63例结直肠癌行机器人手术患者临床数据，进行整理分析。

结果

63例手术均顺利完成，无一例中转开腹，无术后并发症，机器人安装时间为（15.24±5.69）min，手术时间为（176.43±59.39）min，术中出血量（28.65±22.36）mL，清扫淋巴结数（14.47±5.67）枚，术后排气时间（51.43±12.96）h，术后住院日（8.22±1.52）d。

结论

达芬奇机器人手术系统应用于结直肠癌的手术治疗安全可行，手术效果好，术后恢复快，适合临床应用。

关键词: 结直肠肿瘤, 外科手术, 机器人手术系统

Objective

To investigate early experience of Da Vinci robot-assisted laparoscopic radical resection for colorectal carcinoma.

Methods

The clinical outcomes of 63 colorectal cancer patients undergoing robot-assisted laparoscopic radical resection from October 2014 to May 2016 were retrospectively collected and analyzed.

Results

All operations were completed successfully. There were no conversions to open surgery and no postoperative mortality. The robot docking time was (15.24±5.69) min. The operative time was (176.43±59.39) min. The blood loss was (28.65±22.36) ml. The number of lymph nodes harvested was (14.47±5.67). The recover time of bowel function was(51.43±12.96) hours. The postoperative hospital stay was (8.22±1.52) days.

Conclusions

Da Vinci robot-assisted laparoscopic radical resection for colorectal carcinoma is safe and feasible. The robotic system is suitable for clinical application.

Key words: Colorectal neoplasms, Surgical procedures, operative, Robotic system

[1]	Xiao-Hui DU,Shen D,Rong LI, et al. Robotic anterior resection of rectal cancer: technique and early outcome[J]. Chinese Medical Journal, 2013, 126(1): 51-54.
[2]	中华医学会外科学分会腹腔镜与内镜外科学组. 腹腔镜结直肠癌根治手术操作指南(2008版)[J]. 中华胃肠外科杂志, 2009, 12(3): 310-312.
[3]	Weber PA. Telerobotic-Assisted Laparoscopic Right and Sigmoid Colectomies for Benign Disease[J]. Diseases of the Colon & Rectum, 2002, 45(12): 1695-1696.
[4]	Baek JH,Mckenzie S,Garcia-Aguilar J, et al. Oncologic outcomes of robotic-assisted total mesorectal excision for the treatment of rectal cancer[J]. Annals of Surgery, 2010, 251(5): 882-886.
[5]	Biffi R,Luca F,Bianchi PP, et al. Dealing with robot-assisted surgery for rectal cancer: current status and perspectives[J]. World Journal of Gastroenterology, 2016, 22(2): 546-556.
[6]	Alimoglu O,Atak I,Orhun K, et al. Robot-assisted laparoscopic colorectal surgery[J]. Minerva Chirurgica, 2013, 68(5): 471-478.
[7]	Park S,Kim N K. The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques[J]. Journal of Korean Medical Science, 2015, 30(7): 837-846.
[8]	Amato A,Pescatori M. Perioperative blood transfusions for the recurrence of colorectal cancer[J]. Cochrane Database of Systematic Reviews, 2006, 6(1): 117-118.
[9]	Morelli L,Guadagni S,Franco G D, et al. Use of the new Da Vinci Xi® during robotic rectal resection for cancer: technical considerations and early experience[J]. International Journal of Colorectal Disease, 2015, 30(9): 1281-1283.
[10]	Jin C K,Chang S Y,Lim S B, et al. Comparative analysis focusing on surgical and early oncological outcomes of open, laparoscopy-assisted, and robot-assisted approaches in rectal cancer patients[J]. International Journal of Colorectal Disease, 2016, 31(6): 1-9.
[11]	刘东宁,唐城,江群广, 等. 机器人结直肠癌根治术的学习曲线[J]. 中华结直肠疾病电子杂志, 2016, 5(1): 52-55.
[12]	中国医师协会外科医师分会结直肠外科医师委员会. 机器人结直肠癌手术专家共识(2015版)[J]. 中国实用外科杂志, 2015, 14(12): 891-897.
[13]	兰远志,曾冬竹,张超, 等. 达芬奇机器人直肠癌根治术的学习曲线[J]. 中国微创外科杂志, 2014, 14(06): 490-493.
[14]	Bertani E,Chiappa A,Ubiali P, et al. Robotic colectomy: is it necessary?[J]. Minerva Chirurgica, 2013, 68(5): 445-456.

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Early experience of robot-assisted laparoscopic radical resection for colorectal carcinoma

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