达芬奇机器人辅助肾切除四例

目的 总结应用达芬奇机器人腹腔镜行肾脏切除的初步经验,探讨该技术在肾脏切除术方面的可行性及安全性.方法 沈阳军区总医院2011年应用达芬奇机器人技术行肾脏切除术4例;其中肾癌2例,肿瘤直径分别为4 cm及5 cm（T1N0MO）;肾盂肿瘤2例（T1NOMO）.收集围手术期资料进行分析.结果 4例患者均在达芬奇机器人辅助腹腔镜下成功施行,平均手术时间为（120.8±30.1）min,机器人外科手术系统定位的平均时间为（15.3±3.8） min,术中失血量平均为（68±29） ml.所有患者均按期出院,术后均无继发性出血等并发症发生.结论 应用达芬奇机器人腹腔镜行肾脏切除术的创伤小、安全可靠,且疗效确切.随着手术者操作熟练程度的提高,机器人腹腔镜在泌尿外科的优势将更加明显.

Preliminary experience of nephrectomy by Da Vinci robot-assisted laparoscopic surgery： a report of 4 cases

Objective To summarize the clinical experience of Da Vinci robot-assisted laparoscopic surgery in nephrectomy and to discuss its feasibility and safety.Methods Four patients received nephrectomy with Da Vinci robot-assisted laparoscopic surgery in 2011,which includes 2 patients of renal carcinoma （4 cm and 5 cm in diameter,T1N0MO） and 2 patients of pyelo carcinoma （T1NOMO）.The perioperative data was collected and analyzed.Results All surgeries were done by the Da Vinci 2.0 HD system successfully.The mean operative time was （120.8±30.1） min,the docking time of Da Vinci surgical system was （15.3±3.8） min in average,and the mean estimated blood loss was （68±29） ml.There was no complications such as secondary hemorrhage in the peroperative Period.All the patients discharged from hospital on time.Conclusion Da Vinci robot-assisted laparoscopic surgery is mini-invasive,safe and reliable in nephrectomy.The advantages of Da Vinci robot-assisted laparoscopic surgery will be apparent when the operator becomes more experienced.