达芬奇手术机器人与腹腔镜行远端胃癌根治术近期疗效对照研究

Contrast study of short-term effect between the Da Vinci surgical robot and laparoscopic technology in patients after distal gastric cancer surgery

目的对比分析达芬奇手术机器人系统(以下简称机器人)和腹腔镜行胃癌根治术远端胃大部切除病人术中、术后恢复情况。方法选取2012年1月至2012年5月南京军区南京总医院普外科60例远端胃癌根治术的病人,随机分为机器人组和腹腔镜组行远端胃癌根治术,每组各30例,比较两组病人手术时间、术中出血、术后恢复情况、术后并发症情况。结果机器人组术中出血、手术切口长度、术后3d切口疼痛及术后首次进食时间优于腹腔镜组(P<0.05),但在淋巴结清扫及术后并发症方面两者差异无统计学意义。结论机器人组除价格昂贵外较腹腔镜远端胃癌根治术病人手术创伤更小,术后恢复快,值得推广和应用。

Objective To make a contrast between the Da Vinci surgical robot （ referred to as ＂robots＂） and laparoscopic technology in patients’ postoperative recovery after distal gastric cancer surgery. Methods Thirty robotic distal gastric cancer patients as robotic group and 30 laparoscopic gastric cancer patients as compared group both admitted from January 2012 to May 2012 in Nanjing General Hospital of Nanjing Military Command were analyzed. Perioperative situation was compared between the two groups. Results The robotic group was better than the laparoscopic group in intraoperative bleeding, the surgical incision length, postoperative incision pain and the first feeding time （P 〈 0.05）. There was no statistical significance in lymph node dissection and postoperative complications. Conclusion Robot distal gastric cancer surgery is worthy of popularization and application for its less invasive surgery and quicker postoperative recover than laparoscopic surgery.