| 摘要: |
| ［摘要］ 目的 研究达芬奇机器人系统在低位直肠癌经括约肌间切除术（ISR）中的疗效。方法 回顾性分析2015年3月至2021年3月在南昌大学第一附属医院胃肠外科接受机器人或腹腔镜ISR治疗的低位直肠癌患者的临床资料，根据手术方法分为机器人ISR组（50例）和腹腔镜ISR组（51例）。比较两组围术期指标、术后病理资料、术后肛门功能以及2年无病生存率（DFS）。结果 与腹腔镜ISR组相比，机器人ISR组手术时间、术后排气时间、术后流质饮食时间更短，排便频率、直肠低位前切除综合征(LARS)评分更低，差异有统计学意义（P<0.05）。两组术中出血量、术后住院天数、术后短期并发症、术后病理结果以及2年DFS等差异无统计学意义（P>0.05）。结论 机器人ISR治疗低位直肠癌较腹腔镜ISR创伤更小，自主神经和肛门功能保护得更好，值得在临床中推广应用。 |
| 关键词: 低位直肠癌 括约肌间切除术 机器人手术 腹腔镜手术 |
| DOI：10.3969/j.issn.1674-3806.2022.07.03 |
| 分类号: |
| 基金项目: |
|
| A study on the efficacy of Da Vinci Robot System in intersphincteric resection of low rectal cancer |
|
HUANG Pan, LI Zheng-rong, CAO Yi, et al.
|
|
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Nanchang University, Jiangxi 330006, China
|
| Abstract: |
| ［Abstract］ Objective To study the efficacy of Da Vinci Robot System in intersphincteric resection(ISR) of low rectal cancer. Methods The clinical data of low rectal cancer patients who underwent robotic ISR or laparoscopic ISR in the Department of Gastrointestinal Surgery of the First Affiliated Hospital of Nanchang University from March 2015 to March 2021 were retrospectively analyzed. The patients were divided into the robotic ISR group(50 cases) and the laparoscopic ISR group(51 cases) according to different operation methods. The perioperative indicators, postoperative pathological data, postoperative anal function and 2-year disease-free survival(DFS) were compared between the two groups. Results Compared with the laparoscopic ISR group, the robotic ISR group had shorter operation time, shorter postoperative exhaust time and shorter postoperative liquid diet time, lower defecation frequency, lower low anterior resection syndrome(LARS) scores, and there were significant differences between the two groups(P<0.05). There were no significant differences between the two groups in intraoperative blood loss, postoperative hospital stay, postoperative short-term complications, postoperative pathological results and 2-year DFS(P>0.05). Conclusion Compared with laparoscopic ISR, robotic ISR has less trauma, better autonomic nerve protection and better anal function protection for patients with low rectal cancer. Robotic ISR is worthy of clinical application. |
| Key words: Low rectal cancer Intersphincteric resection(ISR) Robotic surgery Laparoscopic surgery |
