＂达芬奇＂机器人系统在胆道手术中的初步应用

Application of da Vinci system for biliary operation in fifteen patients

目的 总结＂达芬奇＂机器人系统在15例胆道手术中应用的临床经验.方法 回顾性分析我院在2009年3月至2009年11月应用＂达芬奇＂机器人系统对15例胆道疾病患者进行的腹腔镜手术治疗,对患者的临床资料及手术情况进行总结.结果 15例患者全部在机器人下完成手术,成功率100%,总手术时间（256±151）min,机器人手术时间为（224±94）min.无手术输血,术后排气时间平均为（30.2±18.0）h,平均住院时间为（6.2±3.5）d.术后并发症2例,1例为术后肺内感染、1例为术后轻微胆漏,均保守治疗治愈.结论 借助于＂达芬奇＂机器人系统,能够完成各类腹腔镜胆道手术.尤其在复杂的胆道手术中,优势明显.

Objective To evaluate the efficacy of da Vinci surgical system in the treatment of biliary diseases. Methods The clinical data of 15 patients with biliary diseases who had undergone operations with da Vinci surgical system from March 2009 to November 2009 at our hospital were retrospectively analyzed.Results The operations were successfully performed on all patients. And no case was converted into open laparotomy. The total operative duration was 256 151 min and the robot operative duration 224±94 min. No blood transfusion was needed. Postoperative recovery time of bowl movement was 30±18 hours. And the average postoperative hospital stay was 6±3 days. Two patients had postoperative complications and were cured by conservative treatment. Conclusion Various laparoscopic operations for biliary diseases may be performed with the aid of three-dimensional imaging system and flexible surgical tools of the Da Vinci surgical system. And its superiority is more obvious for complicated biliary diseases.