摘要
目的:比较机器人辅助后腹腔镜与传统后腹腔镜在肾上腺切除术中的疗效。方法:回顾性分析我院2015年1月～2017年10月收治的66例肾上腺疾病患者的临床资料,其中25例行机器人辅助后腹腔镜肾上腺切除术(机器人组),41例行传统后腹腔镜肾上腺切除术(传统腹腔镜组),比较两组患者的基本信息、围手术期资料、术后随访结果等。结果:两组患者在年龄、性别构成、BMI、病变部位、术前腹部手术史等方面比较差异无统计学意义,机器人组患者的肿瘤直径大于传统腹腔镜组(P<0.05)。两组患者的术中失血量及术后病理结果差异无统计学意义,传统腹腔镜组手术时间短于机器人组(P<0.05),但机器人组患者术后引流时间、术后出院时间均短于传统腹腔镜组(P<0.05)。结论:对于有腔镜手术基础的医师来说,在熟悉机器人手术系统操作后行机器人辅助后腹腔镜肾上腺切除术是安全、有效的。与传统后腹腔镜肾上腺手术的术中失血量以及术后随访结果等方面比较差异无统计学意义,可以达到同等的治疗效果,同时行机器人手术患者的术后引流时间更短、出院时间更早。
Objective：To compare robot-assisted vs traditional laparoscopic retroperitoneal adrenalectomy in term of clinical efficacy.Method：We made a retrospective analysis of patients with adrenal disease admitted to our hospital from January 2015 to October 2017.These patients respectively underwent robot-assisted laparoscopic adrenalectomy（25 cases）and traditional retroperitoneal adrenalectomy（41 cases）.We collected basic information of the patients,perioperative data,postoperative follow-up results,etc.respectively.Result：There was no distinct difference between the two groups with regards to the age,gender,BMI,tumor location and previous abdominal surgery.But mean adrenal tumor in robotic group was larger than that in traditional laparoscopic group（P 〈0.05）.Estimated blood loss was similar between two groups as well as the pathological results.Operative time of traditional laparoscopic group was shorter（P〈0.05）.However,postoperative drainage duration and length of hospital stay were shorter for robotic group than those for traditional laparoscopic group（P〈0.05）.Conclusion：Experienced laparoscopic surgeons are able to perform safely and efficiently after mastering skills of robotic surgical system.Compared with traditional laparoscopic adrenalectomy,estimated blood loss and postoperative followup results of robot-assisted retroperitoneal laparoscopic adrenalectomy have no statistical difference.Two surgical methods can achieve the same clinical efficacy.And robotic surgery shortens postoperative drainage duration and length of hospital stay.
作者
曹鹏
姜永光
邢念增
赵佳晖
韩毅力
罗勇
魏德超
冯炳富
CAO Peng1,JIANG Yongguang1,XING Nianzeng2,ZHAO Jiahui1,HAN Yili1,LUO Yong1,WEI Dechao1,FENG Bingfu1(1.Department of Urology,Beijing Anzhen Hospital,Capital Medical University,Beijing,100029, China;2.Department of Urology,Cancer Hospital Chinese Academy of Medical Science)
出处
《临床泌尿外科杂志》
2018年第10期780-784,共5页
Journal of Clinical Urology
关键词
机器人辅助腹腔镜手术
后腹腔镜手术
肾上腺肿瘤
robot-assisted laparoscopic surgery
retroperitoneal laparoscopic surgery
adrenal tumors
