摘要
目的探讨纳米碳示踪剂在达芬奇机器人直肠癌根治术的应用价值。方法回顾性分析2017年5月至2018年1月在达芬奇机器人辅助下完成的33例直肠癌根治术,15例使用纳米碳示踪剂标记,另外18例未使用,比较两组的手术指标、淋巴结清扫和近期恢复情况。结果全部病例在达芬奇机器人辅助下完成,无一例中转开腹。两组的手术时间、术中出血量、肠管切除长度和下切缘距肿瘤的长度比较,差异无统计学意义(均P>0.05)。两组术后肛门或造口排气时间、术后饮水时间、术后下地活动时间、术后第1天VAS评分及术后住院时间比较,差异无统计学意义(均P>0.05)。观察组检出(18.5±2.3)枚淋巴结多于对照组(16.3±1.6)枚,两组差异有统计学意义(t=1.584,P=0.047)。观察组微小淋巴结检出数(6.9±1.2)枚高于对照组(4.1±1.3)枚(t=2.053,P=0.029)。术后随访1～8个月暂未发现局部复发或远处转移。结论在达芬奇机器人直肠癌根治术中应用纳米碳示踪剂有利于淋巴结清扫,有助于术后准确的病理分期。
Objective To investigate the value of carbon nanoparticles in da Vinci total mesorectal excision(TME).Methods Thirty-three patients with rectal cancer were operated with da Vinci total mesorectal excision from May 2017 to January 2018.Fifteen cases with nanoparticles injection before operation while the other Eighteen were not.The operation index,recent recovery and lymph node dissection of both groups were compared.Results All operations went smoothly without abdominal incision.There was no significant difference of the operation time,intraoperative blood loss,the length of removal intestinal canal,the length of lower incisal margin,exhaust time,time in bed,the fasting time,time in bed,the length of stay after operation and VAS score between two groups(P>0.05).The amount of lymph node dissection in observation group was significantly more than those in control group[(18.5±2.3)vs.(16.3±1.6),t=1.584,P=0.047].The amount of tiny lymph node dissection in observation group was significantly more than those in control group[(6.9±1.2)vs.(4.1±1.3),t=2.053,P=0.029].Conclusion Carbon nanoparticles is helpful for lymphadenectomy in da Vinci total mesorectal excision.It can help pathological stage.
作者
郭雄波
黄彬
刘宝华
李春穴
叶景旺
GUO Xiongbo;HUANG Bin;LIU Baohua;LI Chunxue;YE Jinwang(The Third Hospital of The Army Medical University,Chongqing 400042,China)
出处
《实用医学杂志》
CAS
北大核心
2018年第15期2575-2578,共4页
The Journal of Practical Medicine
关键词
全直肠系膜切除
达芬奇机器人
直肠癌
纳米碳
total mesorectal excision
da Vinci
rectal cancer
carbon nanoparticles
