[1]刘驰,唐波,郝迎学,等.达芬奇机器人与腹腔镜胃癌手术近期疗效的对照研究[J].陆军军医大学学报(原第三军医大学学报),2013,35(11):1164-1166.
 Liu Chi,Tang Bo,Hao Yingxue,et al.Surgical short-term outcomes of robotic gastrectomy versus laparoscopic gastrectomy: a case-control study[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(11):1164-1166.
点击复制

达芬奇机器人与腹腔镜胃癌手术近期疗效的对照研究(/HTML )
分享到:

陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第11期
页码:
1164-1166
栏目:
论著
出版日期:
2013-06-15

文章信息/Info

Title:
Surgical short-term outcomes of robotic gastrectomy versus laparoscopic gastrectomy: a case-control study
作者:
刘驰唐波郝迎学石彦曾冬竹罗华星赵永亮钱锋余佩武
第三军医大学西南医院全军普通外科中心,微创外科中心
Author(s):
Liu Chi Tang Bo Hao Yingxue Shi Yan Zeng Dongzhu Luo Huaxing Zhao Yongliang Qian Feng Yu Peiwu
Department of General Surgery, Center of Minimally Invasive Gastrointestinal Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
关键词:
胃癌胃癌根治术达芬奇机器人手术系统腹腔镜术中术后评估
Keywords:
stomach neoplasms gastrectomy robotic surgery system laparoscopy clinical outcome
分类号:
R197.39; R730.56; R735.2
文献标志码:
A
摘要:
目的      对比达芬奇机器人手术系统与腹腔镜手术治疗胃癌的临床近期疗效,以评估达芬奇机器人手术系统在治疗胃癌中的安全性及可行性。       方法        采用非随机对照设计,按照患者自愿的原则选择手术方式,分析2010年3月至2012年3月在本中心进行胃癌根治术患者的临床资料,其中使用达芬奇机器人手术系统进行胃癌根治术48例,以患者年龄、性别、BMI、肿瘤分期为协变量使用最邻配比法配对腹腔镜组手术患者48例。对比分析2组患者的手术指标、病例指标及术后短期疗效指标。2组患者手术均由同年资医师顺利完成。      结果        与腹腔镜组比较,达芬奇机器人手术组术中出血量更少[107.8±55.9)mL vs (132.7±61.5)mL,P=0.041],淋巴结清扫更彻底[(34.7±5.2 ) vs  (32.5±4.7),P=0.026],但手术时间更长 [(238.0±29.6)min vs  (221.5±33.1)min, P=0.011]。      结论        对比腹腔镜手术系统治疗胃癌,达芬奇机器人手术系统术中对患者造成的损伤更小,肿瘤清扫更为彻底。因此,使用达芬奇机器人手术系统治疗胃癌安全、可行。
Abstract:
Objective        To compare the short-term surgical outcomes of robotic gastrectomy with laparoscopic gastrectomy for gastric cancer in order to evaluate the safety and feasibility of robotic surgery system.       Methods        Clinical data of 48 patients undergoing robotic gastrectomy in our department from March 2010 to March 2012 were collected, and 48 patients receiving laparoscopic gastrectomy during the same period served as control. There was no significant difference in the age, sex, BMI and cancer stage between the 2 groups. All surgery was performed successfully by qualified surgeons with same years of experience. The operative indexes and short-term outcomes were compared between the 2 groups.       Results        Compared with the laparoscopic groups, the robotic group had less intraoperative blood loss (107.8±55.9 vs  132.7±61.5 mL, P=0.041), larger number of lymph node dissection (34.7±5.2 vs  32.5±4.7, P=0.026) and longer operation time (238.0±29.6 vs  221.5±33.1 min, P=0.011).       Conclusion        Compared with conventional laparoscopic gastrectomy, robotic  surgery system has less harm to the patients, with better resection of primary tumor, and more thorough dissection of lymph nodes. Thus, it is feasible and safe for gastric cancer.

相似文献/References:

[1]杨兆瑞,吴晴,陈嘉薇,等.HIF-1α、JNK1、P-gp、MRP1和LRP蛋白在胃癌中的表达与临床病理及预后的关系[J].陆军军医大学学报(原第三军医大学学报),2007,29(18):1755.
 YANG Zhao-rui,WU Qing,CHEN Jia-wei,et al.Expressions, clinicopathological features and prognostic significance of HIF-1α, JNK1, P-gp, MRP1 and LRP proteins in human gastric carcinoma[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(11):1755.
[2]李勇,范立侨,赵群,等.针对survivin的反义寡核苷酸对人胃癌细胞株BGC-823生长、侵袭、迁移能力的影响[J].陆军军医大学学报(原第三军医大学学报),2011,33(13):1350.
 Li Yong,Fan Liqiao,Zhao Qun,et al.Anti-survivin oligonucleotides suppresses growth, invasion and migration in human gastric cancer BGC-823 cells[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(11):1350.
[3]马华,梅峰,马千里,等.Reg Ⅳ在胃癌中的表达及其临床意义[J].陆军军医大学学报(原第三军医大学学报),2006,28(05):441.
[4]孙永强,王强,郑国静,等.罗非昔布对裸鼠人胃癌原位种植瘤组织中血管内皮生长因子和诱导型一氧化氮合酶表达的影响[J].陆军军医大学学报(原第三军医大学学报),2007,29(10):929.
 SUN Yong-qiang,WANG Qiang,ZHENG Guo-jing,et al.Effect of rofecoxib on expressions of VEGF and inducible NOS in human gastric carcinoma tissues established in nude mice by orthotopic transplantation[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(11):929.
[5]俞慧宏,吴小翎,张苜,等.测定胃癌患者肿瘤组织与外周血中前列腺素E2的临床意义[J].陆军军医大学学报(原第三军医大学学报),2008,30(05):444.
 YU Hui-hong,WU Xiao-ling,ZHANG Mu,et al.Prostaglandin E2 in peripheral blood and tumor mass of patients with gastric cancer[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(11):444.
[6]孙梯业,赵永亮,颜伟,等.CXCR4在VEGF-C介导的胃癌淋巴道转移中的作用[J].陆军军医大学学报(原第三军医大学学报),2008,30(02):161.
 SUN Ti-ye,ZHAO Yong-liang,YAN Wei,et al.Role of CXCR4 in lymph node metastasis promoted by VEGF-C in gastric carcinoma[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(11):161.
[7]肖天英,李琦.以下肢静脉血栓、乳糜腹、双侧胸腔积液及肺栓塞为主要表现的胃癌1例[J].陆军军医大学学报(原第三军医大学学报),2007,29(18):1741.
[8]郭红,郝嘉,吴超,等.hTERT隐性表位肽核酸病毒样颗粒疫苗抗胃癌免疫的初步研究[J].陆军军医大学学报(原第三军医大学学报),2006,28(02):169.
[9]张坤,余佩武,高朋芬,等.胃癌细胞-树突状细胞融合疫苗肿瘤细胞杀伤活性研究[J].陆军军医大学学报(原第三军医大学学报),2006,28(05):404.
[10]罗文军,易永芬,张晓艳,等.MUC2反义核酸对胃癌细胞蛋白水解酶表达的影响[J].陆军军医大学学报(原第三军医大学学报),2007,29(06):498.
 LUO Wen-jun,YI Yong-fen,ZHANG Xiao-yan,et al.Effect on cell proliferation and proteolytic enzyme of human gastric carcinoma by MUC2 antisense oligodeoxynucleotide in vitro[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(11):498.
[11]余佩武.腹腔镜胃癌根治术的应用现状与展望[J].陆军军医大学学报(原第三军医大学学报),2008,30(19):1775.

更新日期/Last Update: 2013-06-03