全机器人下远端胃癌根治术的近期疗效

Robots Under Radical Resection of Distal Gastric Cancer Research and Efficacy

目的探讨达芬奇机器人手术系统治疗远端胃癌的可行性及近期疗效。方法回顾性分析2017-01~06月期间本科室收治的胃癌患者10例,均行全机器人下远端胃癌根治术,回顾分析患者的临床、病理资料。结果机器人总手术时间为(237±31)min,术中出血量为(116±53)ml、淋巴结清扫数目为(37.0±8.2)枚,术后胃肠道功能恢复时间(3.1±0.6)d和平均住院日(11±2.5)d。所有患者无其他并发症,术后标本镜下切缘均未见肿瘤组织残存。术后随访4个月未见肿瘤复发及转移。结论全机器人远端胃癌根治术能完整切除病灶,彻底清扫淋巴结,术中出血量少,安全、可行,且能获得较好的近期疗效。

Objective To investigate the feasibility and short term effects of distal gastric carcinoma by using da Vinci surgical system. Methods Ten gastric cancer patients were retrospectively analyzed in author＇ s department from January 2017 to June 2017. All patients underwent full robot distal gastrectomy, and were retrospectively analyzed the clinical and pathological data of them. Results Total operation time, intraoperatve blood loss, numbers of lymph nodes dis- section, recovery time of gastrointestinal function and average hospital stays were （237 ±31） min, （116± 53）ml, （37. 0 ± 8. 2）, （3.1 ± 0. 6）d, （11 ± 2. 5）d, respectively. No other complications were found in all patients. No resection of the tumor tissue was observed after operation. No tumor recurrence and metastasis were observed after 4-month follow-up. Conclu- sion Radical surgery for gastric cancer with da Vinci surgical system is feasible and safe,minimal trauma,less bleeding, better short-term clinical effects, and can complete removal of lesions and dissection of lymph nodes.