期刊文献+

微创胰体尾切除术——机器人手术系统的优势 被引量:7

Robot-assisted distal pancreatectomy
原文传递
导出
摘要 目的探讨机器人手术方式在胰体尾切除术上的可行性、安全性、适应证以及与腹腔镜相比优劣势。方法回顾性分析自2005年9月到2012年4月完成的微创胰体尾切除术51例,根据手术方式分为机器人手术组(RDP组,n=21)与腹腔镜手术(LDP组,n=30),比较两组术中情况(包括手术时间、术中出血量、输血量等)与术后恢复情况(包括术后住院天数、并发症发生率、保脾率等),并进行对比分析。结果RDP组中转开腹1例,中转率4.76%(1/21)。与LDP组相比,RDP组良性肿瘤保脾率较高(61.5%比25.0%,χ2=4.786,P=0.039),淋巴结清扫程度也较LDP组彻底(4.14±2.73枚比1.33±1.21枚,t=2.203,P=0.041)。结论胰体尾肿瘤采用机器人胰体尾切除术是安全可行的。对于保脾胰体尾切除术及标准胰体尾癌根治术,机器人手术系统是有其优势的。 Objective To evaluate the feasibility, safety and the indications of robotic distal pancreateetomy, and to discuss the advantages and disadvantages as compared to respective laparoscopic procedures. Methods Between September 2005 and April 2012, 21 patients underwent robot-assisted laparoscopic distal pancreatectomies (RDP group, n = 21 ) and 30 patients underwent the traditional laparoseopics ( LDP group, n = 30) at our center. Data for operation time, blood loss and complications were collected and statistically analyzed. Results There was one conversion to open surgery in RDP group and the conversion rate was 4. 76% ( 1/21 ). Compared with LDP, RDP group had a significantly higher spleen- preserving rate for benign tumors (61.5% vs. 25.0% ,χ2 =4. 786,P =0. 039), and more retrieved lymph nodes (4. 14 ± 2. 73 vs. 1.33 ± 1.21, t = 2. 203, P = 0. 041 ). Conclusions Robot-assisted distal pancreatectomy is a feasible, less-invasive option for tumors in the pancreas tail, hence is superior in many respects to laparoscopic procedures.
出处 《中华普通外科杂志》 CSCD 北大核心 2013年第5期337-340,共4页 Chinese Journal of General Surgery
关键词 胰腺肿瘤 胰腺切除术 机器人 腹腔镜检查 Pancreatic neoplasms Pancreatectomy Robotics Laparoscopy
  • 相关文献

参考文献10

  • 1Cuschieri A , Jakimowioz JJ,Van Spreeuwel J. Laparoscopicdistal 70% pancreatectomy and splenectomy for chronicpancreatitis. Ann Surg, 1996,223 : 280-285.
  • 2Melvin WS, Needleman BJ, Krause KR,et al. Computer- enhanced robotic telesurgery. Surg Endosc, 2002, 16: 1790- 1792.
  • 3Giulianotti PC , Sbrana F, Bianco FM,et al. Robot-assistedlaparoscopic pancreatic surgery : single-surgeon experience. SurgEndosc, 2010, 24:1646-1657.
  • 4Waters JA , Canal DF , Wiebke EA,et al. Robotic distalpancreatectomy : cost effective? Surgery ,2010,148 :814-823.
  • 5Russo SM, Ove R,Saif MW, et al. Identification of prognosticand predictive markers in pancreatic adenocarcinoma: highlightsfrom the “2011 ASCO Gastrointestinal Cancers Symposium”. JPancreas ,2011,12:92-95.
  • 6Fernandez-Cruz L, Cosa R, Blanco L, et al. Curativelaparoscopic resection for pancreatic neoplasms : a criticalanalysis from a single institution. J Gastrointest Surg,2007 ,11:1607-1621.
  • 7代文杰,姜洪池,乔海泉,许军.48例围手术期出血原因分析[J].中国实用外科杂志,2001,21(6):344-346. 被引量:14
  • 8Warshaw AL. Conservation of the spleen with distal pancreatectomy.Arch Surg, 1988,123:550-553.
  • 9Kimura W,Inoue T,Futakawa N,et al. Spleen-preserving distalpancreatectomy with conservation of the splenic artery and vein.Surgery, 1996,120 :885-890.
  • 10Schwarz RE, Harrison LE,Conlon KC, et al. The impact ofsplenectomy on outcomes after resection of pancreaticadenocarcinoma. J Am Coll Surg,1999,188:516-521.

二级参考文献2

共引文献13

同被引文献98

  • 1石明兰,曹颖俐,杨晓红,李慧琼.肝移植患者围手术期防急性压疮的干预护理[J].局解手术学杂志,2007,16(5):337-337. 被引量:8
  • 2Camarillo D B, Krummel T M, Salisbury J K Jr. Robotic technology in surgery:past, present, and future. Ann J Surg, 2004, 188(4A Suppl) :2S - 15S.
  • 3Giulianoti PC, Corati A, Angelini M, et al. Robotics in general sur- gery: personal experience in a large community hospital. Arch Surg, 2003, 138(7) :777 -784.
  • 4Cheng K, Shen B Y, Peng C H, et al. Initial experiences in robot- assisted middle-pancreatectomy. HPB. 2013, 15 (4) :315 - 321.
  • 5Peng C H, Shen B Y, Deng X X, et al. Early experience for the ro- botic duodenum preserving pancreatic head resection. World J Surg. 2012, 36(5) :1136 - 1141.
  • 6Zhan Q, Deng X X, Han B, et al. Robotic-assisted pancreatic re- section: a report of 47 cases. Int J Med Robotics Comput Assist Surg, 2013,9:44 - 51.
  • 7Melvin WS. Minimally invasive pancreatic surgery[J]. Am J Surg,2003, 186(3): 274-278.
  • 8Giulianotti PC, Coratti A, Angelini M, et al. Robotics in generalsurgery: personal experience in a large community hospital[J]. ArchSurg, 2003, 138(7): 777-784.
  • 9Giulianotti PC, Sbrana F, Bianco FM, et al. Robot-assistedlaparoscopic pancreatic surgery: single-surgeon experience[J]. SurgEndosc, 2010, 24(7): 1646-1657.
  • 10Maurizi A, Partelli S, Falconi M. Pancreatic Surgery[J]. Front HormRes, 2015(44): 139-148.

引证文献7

二级引证文献33

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部