摘要
目的探讨达芬奇机器人手术系统(da Vinci Surgical System)在行纵隔肿瘤切除术后不放置引流管的可行性及优势。方法 2011年3月至2015年3月我科共有39例患者行机器人纵隔肿瘤切除术后未放置引流管,作为未放置引流管组,其中男24例、女15例,年龄47.28(18~73)岁。选取同期行机器人纵隔囊肿切除术50例术后放置胸腔引流管为放置引流管组,其中男25例、女25例,年龄49.24(22~82)岁。比较两组临床效果。结果未放置引流管组手术时间[(61.97±16.41)min vs.(79.90±33.19)min,P=0.003],重症监护时间[(1.23±0.48)d vs.(2.16±0.82)d,P=0.000],术后住院时间[(3.77±1.16)d vs.(5.62±2.22)d,P=0.000]和术后视觉模拟评分(visual analogue scale,VAS 3.05±1.76 vs.4.54±1.83,P=0.000)均优于放置引流管组。所有患者应用达芬奇机器人手术系完成手术,无中转开胸。术后患者均顺利出院,无并发症发生。结论采用达芬奇机器人手术系统行纵隔肿瘤切除不放置引流管安全可行,利于患者快速康复,缩短住院时间。
Objective To investigate the feasibility and advantage of the da Vinci S Surgical System in operation of the mediastinal tumor without chest tube.Methods From March 2011 up to March 2015,39 patients in our hospital with mediastinal tumor underwent resection without a chest tube by da Vinci System were as a no chest tube group with 24 males and 15 females at age of 47.28(18-73) years.In the same period,50 patients with mediastinal cyst underwent resection with a chest tube insertion by da Vinci System were as a chest tube group with 25 males and 25 females at age of49.24(22-82) years.Clinical data of the two groups were collected and compared.Result There were statistical differences in mean operative time(61.97±16.41 min vs.79.90±33.19 min,P=0.003),time of ICU stay(1.23±0.48 d vs.2.16±0.82 d,P=0.000),time of postoperative hospitalization(3.77±1.16 d vs.5.62±2.22 d,P=0.000),and visual analogue scale(VAS) score(3.05±1.76 vs.4.54±1.83).The clinical results in the no chest tube group were better than those in the chest tube group.All the procedures were successfully completed by da Vinci System in all the patients without conversions and any compilcation.Conclusion It's safe and beneficial for patients without a chest tube after a mediastinal tumor resection with da Vinci S Surgical System with shorter hospital stay.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2015年第10期940-943,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
纵隔肿瘤
机器人
达芬奇手术系统
快速康复外科
微创手术
Mediastinal tumor
Robotics
Da Vinci S Surgical System
Fast track surgery
Minimally invasive surgery
