应用达芬奇机器人切除原发性腹膜后巨大肿瘤的临床研究

Da Vinci robot-assisted laparoscopic resection of primary huge retroperitoneal tumor

目的探讨达芬奇机器人腹膜后巨大肿瘤切除术的安全性和疗效。方法回顾性分析该院5例腹膜后巨大肿瘤行达芬奇机器人手术切除的临床资料,探讨手术技巧,分析并发症与疗效。结果5例腹膜后巨大肿瘤患者均成功实施达芬奇机器人辅助肿瘤切除术,术后恢复良好,无严重并发症。随访6~33个月,4例无肿瘤复发;1例腹膜后淋巴瘤患者,残余瘤体经化疗后明显缩小。结论达芬奇机器人能安全地完成复杂的腹膜后巨大肿瘤手术,术后并发症少,疗效满意。在熟练掌握机器人操作后,经腹和腹膜后途径均能很好完成手术。

Objective To investigate the safety and clinical effect of Da Vinci robot-assisted laparoscopic resection of huge retroperitoneal tumor.Methods Clinical data of 5 cases of Da Vinci robot-assisted laparoscopic resection of huge retroperitoneal tumor was retrospectively studied.The surgical skill,complications and effect were analyzed.Results All the operations were successfully performed.The patients recovered well,without serious complications,during the 6 to 33 months follow-up,no tumor recurrence occurred in 4 cases.The residual tumor volume decreased obviously after chemotherapy in 1 case with retroperittoneal lymphoma.Conclusion The complex huge retroperitoneal tumor can be safely resected by Da Vinci robot-assisted laparoscopy with few complications,and the efficacy is satisfied.The operation can be well completed via retroperitoneal approach as well as transperitoneal approach.