摘要
目的探索达芬奇手术机器人系统在脾切除术中的应用。方法回顾性分析2017年10月至2018年10月华中科技大学同济医学院附属协和医院采用达芬奇机器人系统进行脾切除术治疗的31例患者临床资料,分析手术时间、术中出血量、术后住院时间、并发症发生率情况。结果31例患者均完成"隧道法"机器人辅助腹腔镜下脾切除术,无中转开腹患者。手术时间(216.0±33.5)min,术中出血量(137.6±53.8)ml,术后住院时间(9.4±1.9)d。所有患者围手术期均未发生相关并发症。结论机器人系统在脾脏手术中应用效果良好,具有一定的优势和推广价值。
Objective To apply the Da Vinci Surgical System in laparoscopic splenectomy and pericardial devascularization using " the tunnel-building technique". Methods The clinical data of 31 patients who underwent robotic assisted laparoscopic splenectomy from Oct 2017 to Oct 2018 were analyzed. The operative time, intraoperative blood loss, postoperative hospital stay and conversion rate were studied. Results All patients underwent robotic-assisted laparoscopic splenectomy without conversion to open surgery. The operation time was (216.0±33.5) min, intraoperative blood loss (137.6±53.8) ml, and postoperative stay (9.4±1.9) days. There were no early postoperative complications. Conclusion " The tunnel-building technique" using the Da Vinci Surgical System is feasible and has its unique advantages in laparoscopic splenectomy and pericardial devascularization.
作者
唐勇
万赤丹
Tang Yong;Wan Chida(Department of Hepabobiliary Surgery,Union Hospital,Tongji Medical College of The Huazhong University of Science and Technology,Wuhan 430022)
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2019年第10期768-770,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
脾切除术
机器人手术
达芬奇机器人系统
隧道法
Splenectomy
Robotic surgical procedures
Da Vinci surgical system
Tunel-building
