目的 比较泌尿外科手术领域达芬奇手术系统与传统腹腔镜围术期指标。方法 选择火箭军总医院泌尿外科2014-03至2018-01达芬奇机器人辅助下40例手术患者(达芬奇组),另选择同期40例经普通腹腔镜手术患者(腹腔镜组),对两组术中及术后相关指标进行对比分析。结果 达芬奇组术中出血量为(341.35±52.01)ml,明显少于腹腔镜组的(367.78±50.04)ml,差异有统计学意义(P<0.05);达芬奇组术后排气时间为(40.71±8.59)h,下床活动时间为(42.97±11.80)h,均早于腹腔镜组,差异均有统计学意义(P<0.05);两组手术时间、手术费用对比,差异无统计学意义;但达芬奇组住院时间明显少于腹腔镜组,差异有统计学意义(P<0.05)。结论 达芬奇机器人辅助系统下的手术能提高手术的精确性,减少术中出血,缩短术后恢复时间和住院时间。
Abstract
Objective To compare the Da Vinci surgical system with traditional laparoscopy in the field of urology.Methods Retrospective analysis was conducted of the clinical data of 40 patients who underwent surgery with Da Vinci robots at the Department of Urology of the Rocket General Hospital between March 2014 and January 2018 and of another 40 patients who underwent conventional laparoscopic surgery.Results The intraoperative blood loss volume of the Da Vinci group was (341.35±52.01) ml, which was significantly smaller than that of the laparoscopic group (367.78±50.04) ml. The difference between the two groups was statistically significant (P<0.05). The exhaust time of the Da Vinci group was (40.71±8.59) h, and the time of first postoperative ambulation (42.97±11.80) h was also significantly earlier than that of the laparoscopic group. The difference was statistically significant (P<0.05). The cost of surgery in the Da Vinci group was higher than that in the laparoscopic group, but the difference was not statistically significant. However, hospital stay was significantly shorter in the Da Vinci group than in the laparoscopic group, and the difference was statistically significant (P<0.05).Conclusions Surgery with the Da Vinci robot-assisted system can improve the accuracy of surgery, reduce intraoperative bleeding, promote recovery and shorten hospital stay.
关键词
达芬奇机器人辅助系统 /
腹腔镜 /
肾癌根治术 /
肾盂输尿管成形术 /
前列腺癌根治术 /
膀胱癌根治术
Key words
Da Vinci robot-assisted /
laparoscopic /
nephrectomy /
calicoplasty /
radical prostatectomy /
radical cystectomy
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