机器人与腹腔镜辅助右半结肠癌根治术围术期指标比较

Perioperative outcomes of Da Vinci robot-assisted versus laparoscope-assisted right hemicolectomy for colon cancer

目的比较机器人与腹腔镜辅助右半结肠癌根治术的临床疗效,评估机器人手术的安全性和有效性。方法回顾性分析解放军总医院第一医学中心收治的113例右半结肠癌患者的临床资料,其中54例行机器人辅助右半结肠癌根治术(RA组),59例行腹腔镜辅助右半结肠癌根治术(LA组),比较两组围术期相关指标。结果两组性别、年龄、ASA评分和病理分期等基线资料差异无统计学意义(P>0.05);淋巴结清扫数目、术中出血量、手术时间和术后首次进食时间等围术期指标差异均无统计学意义(P>0.05)。与LA组比较,RA组住院费用更高[(10.3±2.1)万元vs(6.7±1.7)万元,P<0.05)]。结论达芬奇机器人辅助右半结肠癌根治术具有与腹腔镜手术相同的安全性和有效性,但费用更高。

Objective To compare the perioperative indicators of Da Vinci robot-assisted versus laparoscope assisted right hemicolectomy for colon cancer,and evaluate the safety and effectiveness of robot-assisted hemicolectomy.Methods Clinical data about 113 patients who underwent right hemicolectomy for colon cancer in our center were analyzed retrospectively.There were 54 patients in robot-assisted hemicolectomy group(RA group),and 59 patients in laparoscope-assisted hemicolectomy group(LA group).Perioperative variables were compared between the two groups.Results There was no significant difference in gender,age,ASA score and pathological stage between the two groups(P>0.05).Perioperative variables,such as number of retrieved lymph node,intraoperative blood loss,operating time and time to liquid food intake,also showed no statistically significant difference between the two groups(P>0.05).Compared with the LA group,hospitalization costs in the RA group was significantly higher([10.3±2.1]ten thousand yuan vs[6.7±1.7]ten thousand yuan,P=0.000).Conclusion Robot-assisted right hemicolectomy has comparable safety and effectiveness as laparoscope for colon cancer,but higher cost.