心外科胸腔镜与机器人辅助手术结局指标的比较

Comparison of the surgical outcomes between video-assisted and robot-assisted cardiac surgery

目的:对比在心脏外科领域机器人辅助与胸腔镜辅助手术的手术结局。方法:回顾分析2014年1月至2017年10月行心脏手术的25例患者的临床资料,分为机器人组与胸腔镜组。观察两组失血量、手术指标、住院时间、心脏并发症及其他症状。结果:机器人组7例(50%)行三尖瓣修复手术,胸腔镜组仅1例行三尖瓣修复手术(P=0.03)。与机器人组相比,胸腔镜组失血量多(P=0.002);两组输血量(P=0.104)、住院时间[(9.8±1.9) d vs.(11.4±2.0) d,P=0.056]及其他手术相关指标差异无统计学意义。结论:在心脏外科手术中,与胸腔镜辅助手术相比,机器人辅助手术失血量少,是心脏手术的较好选择。

Objective:To compare the surgical outcomes of robot-assisted and video-assisted cardiac surgery.Methods:A retrospective study was done on clinical data of 25 patients from Jan.2014 to Oct.2017.The most frequent cause was atrial septal defect.The patients were divided into robot-assisted group and video-assisted group.The primary outcome was blood loss during the operation,and secondary outcomes included operational information,in-hospital time,cardiac comorbidities and other symptoms.Results:In the robot-assisted group,7(50%)patients underwent tricuspid valve repair,while only one patient in the video-assisted group(P=0.03).There was an increase in blood loss in the video-assisted group compared with the robot-assisted group(P=0.002).The difference in blood transfusion volume(P=0.104),hospital stay[(9.8±1.9)d vs.(11.4±2.0)d,P=0.056],other intraoperative and postoperative outcomes was not significant between two groups.Conclusions:Compared with video-assisted cardiac surgery,robot-assisted surgery shows a reduced blood loss.Therefore,robot-assisted surgery could be considered as a better option for cardiac surgery.