达芬奇机器人腹股沟疝十二例修补术

Leonardo Da Vinci robot 12 cases inguinal hernia repair

目的 探讨达芬奇机器人腹股沟疝修补术的可行性及近期疗效。方法 回顾性分析2014年1月至2015年5月,沈阳军区总医院利用达芬奇系统完成腹股沟疝修补术12例,其中达芬奇经腹路径9例,达芬奇完全腹膜外路径3例。结果 12例手术均顺利完成,手术无中转。平均手术时间（110.0±17.5）min。术中无明显失血。术后2~3 d出院。术后随访5~16个月,无复发患者。平均住院费用3.2万元。结论 利用达芬奇操作系统进行TEP及TAPP是可行的,手术时间及较高住院费用可能限制了其广泛应用。

Objective To investigate the feasibility and short term outcome of Da Vinci robotic-assisted laparoscopic inguinal hernia repair. Methods A retrospective analysis was conducted on 12 cases of inguinal hernia which underwent laparoscopic inguinal hernia using the Da Vinci surgical system in the general hospital of Shenyang military region from January 2014 to May 2015. Of these, these were 9 operated via transabdominal approach and 3 via totally extraperitoneal approach. Results All the 12 cases were operated successfully, without conversion to open surgery. The mean operative time was （ 110. 0 ± 17.5） rain, and there was no obvious blood loss. Patients were discharged in 2-3 days after operations. After the postoperative follow-up of 5 to 16 months, there was no recurrence. The average hospitalization costs was 32 000 yuan. Conclusion It is feasible using Da Vinci surgical system in TEP and TAPP. The long operative time and high hospital costs may be the reason limits its widely using.