达芬奇机械人双侧腹股沟疝修补术临床应用研究

Clinical effect of Da Vinci robot bilateral inguinal hernia repair

目的:对比分析达芬奇机械人双侧腹股沟疝修补术与腹腔镜修补术的临床疗效及安全性。方法:回顾性分析双侧腹股沟疝患者的手术资料,根据手术方式分为达芬奇机械人双侧腹股沟疝修补术组(观察组26例)和腹腔镜疝修补术组(对照组30例);比较两组手术时间、术中出血量、术后排气时间、术后疼痛时间、住院时间、住院费用及术后并发症。结果:两组患者均顺利完成手术,相比对照组患者,观察组患者的住院费用较高[(39695.3±1221.8)元与(19825.4±1132.5)元],但手术操作时间减少[(182.3±12.6)min与(211.3±20.5)min],两组比较差异均有统计学意义(均P<0.05);两组术中出血量、住院时间比较差异均无统计学意义(均P>0.05);两组术后并发症发生率比较差异均有统计学意义(均P<0.05)。结论:达芬奇机械人双侧腹股沟疝修补与腹腔镜修补术在手术疗效及安全性上无明显差异,但具有手术操作时间短、术后并发症发生率低的特点。

Objective:To investigate the clinical efficacy and safety of Da Vinci robot and laparoscopic in the treatment of bilateral inguinal hernia.Methods:The surgical data of patients with bilateral inguinal hernia were retrospectively analyzed.According to the surgical method,they were divided into observation group(Da Vinci robot bilateral inguinal hernia repair,26 cases)and control group(laparoscopic hernia repair,30 cases).The operation time,intraoperative bleeding,postoperative exhaust time,postoperative pain time,hospital stay,hospitalization costs and postoperative complications were compared between the two groups.Results:Both groups of patients successfully completed the operation.Compared with the control group,the observation group had higher hospitalization costs[(39695.3±1221.8)yuan vs.(19825.4±1132.5)yuan],but the operation time was reduced[(182.3±12.6)min vs.(211.3±20.5)min],the difference was statistically significant(all P<0.05).There was no significant difference in intraoperative blood loss and hospital stay between the two groups(all P>0.05).There was statistically significant difference in the incidence of complications between the two groups(all P<0.05).Conclusion:There is no significant difference between Da Vinci robot bilateral inguinal hernia repair and laparoscopic repair in terms of clinical efficacy and safety,but the former has the characteristics of short operation time and low postoperative complications.