摘要
目的探讨经口置入钉砧头系统(OrVil)在机器人辅助胃癌根治术中的应用可行性及近期疗效。方法回顾性分析解放军总医院2010年10月至2013年9月收治的采用经口置入钉砧头系统(OrVil)在机器人辅助下行胃癌根治术的84例患者的临床资料,用logistic模型对围手术期并发症进行多因素分析。结果 84例患者均在机器人辅助下完成手术,无中转开腹,其中近端胃切除52例,全胃切除32例。平均手术时间:219.88±48.91 min;术中平均出血量:178.57±190.48 ml。平均清扫淋巴结数:21.88±8.22枚。5例发生严重并发症,无手术死亡。多因素分析影响术后并发症的因素中,手术方式、手术时间、转移的淋巴结数以及合并症的有无与并发症的发生相关(P<0.05)。结论 OrVil在机器人辅助下行胃癌根治术中的应用是安全可行的,能够取得良好的近期疗效。
Objective To investigate the feasibility of application of the transorally placed anvil （Oril） in the radical gastrectomy with da vinci and its short-term efficacy. Methods The clinical data of 84 cases who underwent the radical gastrectomy with da vinci, using the OrVil system in the General Hospital of Chinese People＇s Liberation Army from Oct. 2010 to Sep. 2013 was retrospectively analyzed. Logistic model was used in perioperative complications for multivariate analysis. Results The radical gastrectomy with da vinci was performed in all 84 cases, without conversion to laparotomy, which included proximal gastrectomy in 52 cases and total gastrectomy in 32 cases. The mean duration of surgery was 219.88 ± 48.91 rain, the mean blood loss during surgery was 178.57 ± 190.48 ml, and a mean of 21.88 ±8.22 lymph nodes were harvested. 5 patients got serious complications. No operative mortality. Factors, in muhivariate analysis, that affect postoperative complications were the surgical approach, operative time, the number of metastasis lymph nodes and with or without concomitant diseases （P 〈 0.05）. Conclusion The OrVil system is safe and feasible in radical gastrectomy with da vinci for gastric cancer and it has a high short-term therapeutic efficacy.
出处
《中华腔镜外科杂志（电子版）》
2013年第5期23-26,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
