达芬奇手术系统与胸腔镜在肺癌根治术中的对比分析

史博文; 孙冰生; 岳东升; 张钰; 李晨光; 高留伟; 黄武浩; 王长利

doi:10.3971/j.issn.1000-8578.2018.16.1513

达芬奇手术系统与胸腔镜在肺癌根治术中的对比分析

A Comparative Study of Da Vinci Robotic Surgery and Video-assisted Thoracoscopic Surgery in Radical Resection of Lung Cancer

摘要

摘要:
目的对比机器人辅助与胸腔镜肺叶切除术的微创效果。
方法回顾性分析机器人肺叶切除手术35例与腔镜肺叶切除手术66例的相关数据，包括术中失血量、手术时间、切除淋巴结数目及站数、术后引流量及时间和术后住院时间。
结果两组患者术中失血量、手术时间、清扫淋巴结站数、清扫淋巴结个数、术后总胸腔引流量、术后带管时间、术后住院时间和术后并发症（声音嘶哑和乳糜胸）差异均无统计学意义（P > 0.05）。
结论机器人辅助肺叶切除术是安全可行的。尽管术中失血量、带管时间、术后并发症、术后胸腔引流量和术后住院时间要略有优势，但是总体并无显著差异。

Abstract:
Objective To compare the minimally invasive effect of Da Vinci robotic surgery with video-assisted thoracoscopic surgery(VATS) in the lobectomy.
Methods We analyzed 35 patients that underwent Da Vinci robotic surgery and 66 patients that underwent VATS. We collected blood loss, operative time, volume and duration of drainage, the number of resected lymph nodes and lymph node stations and postoperation hospitalization time. And postoperative complications were also included.
Results Blood loss, operative time, number of resected lymph node stations, number of resected lymph nodes, volume of drainage, time of drainage, postoperative hospitalization time and postoperative complications(hoarseness and chylothorax) showed no significant statistical difference between two surgeries(P > 0.05).
Conclusion Da Vinci robotic surgery is safe and feasible. Although the robotic surgery is slightly superior to VATS in operative time, blood loss, volume and duration of drainage, post-operation hospitalization time and postoperative complications, there is no statistically significant difference.

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