达芬奇机器人手术系统在肝胆胰外科的应用

Application of Da Vinci surgical system in the treatment of hepatopanceatobiliary diseases

目的评价达芬奇机器人手术系统在肝胆胰疾病中的应用效果。方法回顾性分析2009年3月至11月解放军总医院肝胆外科医院应用达芬奇机器人手术系统治疗29例肝胆胰疾病患者的临床资料。结果除1例胰十二指肠切除术患者中转开腹行胰肠吻合术外，其余28例均在达芬奇机器人手术系统下顺利完成手术。手术时间为（339±149）min，机器人手术时间为（285±117）min。无手术输血，术后肛门排气时间为（33±21）h，住院时间为（8±6）d。术后3例发生并发症，均保守治疗痊愈。结论达芬奇机器人手术系统的三维成像及灵活的手术器械，能够完成各类肝胆胰外科手术，尤其对复杂的肝胆胰手术优势更明显。

Objective To evaluate the effect of Da Vinci surgical system for the treatment of hepatopancreatobiliary diseases. Methods The clinical data of 29 patients with hepatopanereatobiliary diseases who had undergone operations with Da Vinci surgical system from March to November 2009 at the General Hospital of PLA were retrospectively analyzed. Results The operations were successfully done on 28 patients, except 1 patient was converted to open pancreaticoenterostomy. The total operation time was （339±149） minutes, and the time for operations done with Da Vinci surgical system was （ 285±117 ） minutes. The postoperative bowl movement recovery time was （33±21 ） hours, and the length of postoperative hospital stay was （8±6） days. No blood transfusion was needed. Three patients had postoperative complications and were cured by conservative treatment. Conclusion Laparoscopic operations for hepatopancreatobiliary diseases can be applied with the help of the threedimensional imaging system and flexible surgical instruments of the Da Vinci surgical system, and its superiority is more obvious when applied for intractable hepatopancreatobiliary diseases.