达芬奇机器人系统与腹腔镜远端胃癌根治术近期疗效比较

Short-term clinical outcomes of radical resection for distal gastric cancer:da Venci robotic system versus laparoscopic surgery

目的比较达芬奇机器人系统与腹腔镜远端胃癌根治术的近期疗效。方法回顾性选取2021年11月至2024年2月宁波大学附属第一医院收治的胃窦、胃角癌患者200例,均择期行远端胃癌根治术。其中98例患者行达芬奇机器人手术治疗,为机器人组;另102例患者行腹腔镜手术治疗,为腹腔镜手术组。比较两组患者围术期指标、术后并发症发生情况。结果两组患者手术时间、术后住院时间比较差异均无统计学意义(均P>0.05)。与腹腔镜组比较,机器人组患者术中出血量较少,术后首次排气时间较短,但手术费用较高,差异均有统计学意义(均P<0.05)。机器人组患者术后并发症发生率低于腹腔镜组(2.04%比8.82%,P<0.05)。结论针对胃癌患者实施远端胃癌根治术,相较于腹腔镜手术,采用达芬奇机器人系统手术的出血量少,术后患者恢复排气时间短,并发症少。

Objective To compare the short-term clinical outcomes of da Vinci robotic systems and laparoscopic surgery in radical resection for distal gastric cancer.Methods The clinical data of 200 patients with gastric cancer who underwent elective surgery in First Affiliated Hospital of Ningbo University from November 2021 to February 2024 were retrospectively analyzed,including 98 cases with da Vinci robotic system(robot group)and 102 cases with laparoscopic surgery(laparoscopic group).The perioperative indicators and postoperative complications were compared between two groups.Results There were no significant differences in operation time and length of postoperative hospital stay between two groups(P>0.05).Compared to the laparoscopic group,patients in the robot group had less intraoperative blood loss and a shorter time to first flatus,but incurred higher surgical costs(P<0.05).The postoperative complication rate in the robot group was lower than that in the laparoscopic group(2.04%vs.8.82%,P<0.05).Conclusion Compared to laparoscopic technique in distal subtotal gastrectomy for gastric cancer patients,the application of da Venci robotic system has less introoperative bleeding,shorter postoperative exhaust time,and fewer postoperative complications.