摘要
目的:总结达芬奇外科系统在胆道疾病手术中的经验,并探讨其优越性。方法:2010年2月至2011年10月应用达芬奇外科系统为24例胆道疾病患者施术。分析总结分别以肝十二指肠韧带、肝脏为视野的两组患者手术过程及术后康复情况。结果:24例患者中1例中转开腹,无一例死亡。以肝十二指肠韧带为术野的17例患者手术时间平均(342.4±37.4)min,术中出血量平均(168.8±39.5)ml,术后平均住院(11.6±1.5)天。以肝脏为术野的7例患者手术时间平均(438.5±33.9)min,术中出血量平均(292.9±67.6)ml,术后平均住院(10.1±1.2)天。结论:达芬奇外科系统不仅可独立完成胆道疾病手术,使患者受益,而且受到外科医师的青睐,将会推动腹腔镜外科的进程。
Objective：To summarize the experience of surgery for biliary diseases with Da Vinci surgical system and explore its superiority.Methods：All 24 patients with biliary diseases underwent minimally invasive surgery with Da Vinci surgical system from Feb.2010 to Oct.2011.The patients were divided into two groups according to the robotic visual field：hepatoduodenal ligament group（HG） and liver group（LG）.Results：Twenty-three patients underwent robotic surgeries successfully.1 robotic procedure was convered to open surgery.There was no case of operative death.In the HG of 17 patients,mean operative time was（342.4±37.4） min,blood loss was（168.8±39.5） ml and postoperative hospital stay was（11.6±1.5） d;in the LG of 7 patients,the mean operative time was（438.5±33.9） min,blood loss was（292.9±67.6） ml and postoperative hospital stay was（10.1±1.2） d.Conclusions：Almost all operations in biliary surgery can be performed successfully with Da Vinci surgical system.Not only the patients but also the surgeons will benefit from it.Robotic surgery will improve the development of minimally invasive surgery.
出处
《腹腔镜外科杂志》
2012年第3期169-172,共4页
Journal of Laparoscopic Surgery
关键词
胆道疾病
达芬奇外科系统
微创外科
Biliary diseases
Da Vinci Surgical System
Minimally invasive surgery
