摘要
目的:比较达芬奇机器人与传统腹腔镜肝切除术治疗肝脏疾病的优势与弊端。方法:回顾分析2017年7月至2018年7月因肝脏肿瘤或肝内胆管结石行腹腔镜肝切除术的99例患者的临床资料。患者分为腹腔镜组(n=71)与机器人组(n=28),均由同一术者施术,统计分析两组手术方式、围手术期相关因素及术后恢复情况。结果:除3例传统腹腔镜肝切除术中转开腹外,余者均顺利完成手术。两组手术时间、术中失血量、术后并发症及住院时间差异无统计学意义(P>0.05)。结论:达芬奇机器人腹腔镜肝切除术安全、可行,与传统腹腔镜手术相比,在精细操作方面具有一定优势。
Objective:To compare the advantages and disadvantages of Da Vinci robot and traditional laparoscopic hepatectomy in the treatment of liver diseases.Methods:The clinical data of 99 patients who underwent laparoscopic hepatectomy for hepatic tumors or hepatolithiasis from Jul.2017 to Jul.2018 were retrospectively analyzed.All the operations were performed by the same surgeon.And all patients were divided into laparoscopic group(n=71)and robotic group(n=28).The operative methods,perioperative factors and postoperative recovery of the two groups were analyzed.Results:Except for 3 cases of traditional laparoscopic hepatectomy converted to laparotomy,all the other operations were successfully completed.There were no significant differences in operation time,intraoperative blood loss,postoperative complications or hospitalization time between the two groups(P>0.05).Conclusions:Da Vinci robot laparoscopic hepatectomy is safe and feasible.Compared with traditional laparoscopic hepatectomy,it has certain advantages in fine operation.
作者
朱呈瞻
董冰子
席跃
康晓宁
孙传东
ZHU Cheng-zhan;DONG Bing-zi;XI Yue(Department of Hepatobiliary and Pancreatic Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266003,China)
出处
《腹腔镜外科杂志》
2018年第12期881-884,共4页
Journal of Laparoscopic Surgery
基金
国家自然科学基金(编号:81600490)
山东省科技发展计划项目(编号:2016GSF201221)
中国博士后基金面上项目(编号:2016M602098)
青岛市博士后应用研究项目(编号:2016046)
关键词
肝切除术
机器人
腹腔镜检查
疗效比较研究
Hepatectomy
Robotics
Laparoscopy
Comparative effectiveness research
