| 机器人与腹腔镜直肠癌根治术的近期疗效的回顾性队列研究 |
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| 引用本文： | 刘文涵,杜斌斌,闫沛静,刘荣,郭天康,蔡辉,杨克虎,杨熊飞. 机器人与腹腔镜直肠癌根治术的近期疗效的回顾性队列研究[J]. 当代医学, 2019, 25(13): 1-6 |
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| 作者姓名： | 刘文涵 杜斌斌 闫沛静 刘荣 郭天康 蔡辉 杨克虎 杨熊飞 |
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| 作者单位： | 甘肃中医药大学临床医学研究生院,甘肃 兰州 730000;甘肃省人民医院肛肠科,甘肃 兰州 730000;甘肃省人民医院肛肠科,甘肃 兰州,730000;甘肃省人民医院临床循证医学研究所,甘肃 兰州,730000;中国人民解放军总医院肝胆外二科,北京,100853;甘肃省人民医院普外临床医学中心,甘肃 兰州,730000;兰州大学基础医学院循证医学中心,甘肃 兰州 730000;兰州大学公共卫生学院社会科学中心,甘肃 兰州 730000;甘肃省循证医学与临床转化重点实验室,甘肃 兰州 730000 |
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| 基金项目： | 兰州市科技局指导性计划;甘肃省自然基金项目;甘肃省循证医学与临床转化重点实验室开放基金;实验室开放基金 |
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| 摘 要： | 目的探讨与腹腔镜手术相比,机器人系统辅助直肠癌根治术的近期疗效。方法回顾性地收集2015年7月至2017年10月于本院肛肠科接受机器人辅助直肠癌根治术的患者80例;同一术者实施、肿瘤临床病理基线相当的腹腔镜直肠癌根治术的患者116例,比较两组患者术中和术后近期疗效的结果。结果机器人组术后住院时间(β:-3.22,95%CI:-5.59,-0.85,P<0.01),首次通气时间(β:-2.91,95%CI:-3.72,-2.10,P<0.001)均比腹腔镜组缩短约3 d;两组手术时间和清扫淋巴结数目差异无统计学意义;但机器人组有较多的术中出血量(β:52.21,95%CI:17.35,87.07,P<0.01)。结论与腹腔镜手术相比,机器人系统辅助直肠癌根治术具有较好、较快的近期恢复优点。两者对直肠癌治疗的远期疗效有待进一步随访和观察。
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| 关 键 词： | 机器人 腹腔镜 微创外科 直肠癌 术后近期疗效 |
Short-term outcomes of robotic and laparoscopic surgery for rectal cancer: a cohort study |
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| Liu Wenhan,Du Binbin,Yan Peijing,Liu Rong,Guo Tiankang,Cai Hui,Yang Kehu,Yang Xiongfei. Short-term outcomes of robotic and laparoscopic surgery for rectal cancer: a cohort study[J]. Contemporary Medicine, 2019, 25(13): 1-6 |
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| Authors: | Liu Wenhan Du Binbin Yan Peijing Liu Rong Guo Tiankang Cai Hui Yang Kehu Yang Xiongfei |
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| Affiliation: | (Department of Clinical Medicine,Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu,730000,China;Department of colorectal surgery,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Institution of Clinical Researchand Evidence Based Medicine,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Department of Heatobiliary andPancreatic Surgical Oncology,Chinese People' s Liberation Army (PLA) General Hospital,Beijing,100853,China;GeneralSurgery Clinical Medical Center,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Evidence-Based Social Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou,Gusu,730000,China;Evidence-Based Social Center,School ofPublic Health,Lanzhou University,Lanzhou,Gansu,730000,China;Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province,Lanzhou,Gansu,730000,China) |
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| Abstract: | Liu Wenhan;Du Binbin;Yan Peijing;Liu Rong;Guo Tiankang;Cai Hui;Yang Kehu;Yang Xiongfei(Department of Clinical Medicine,Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu,730000,China;Department of colorectal surgery,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Institution of Clinical Researchand Evidence Based Medicine,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Department of Heatobiliary andPancreatic Surgical Oncology,Chinese People' s Liberation Army (PLA) General Hospital,Beijing,100853,China;GeneralSurgery Clinical Medical Center,Gansu Provincial Hospital,Lanzhou,Gansu,730000,China;Evidence-Based Social Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou,Gusu,730000,China;Evidence-Based Social Center,School ofPublic Health,Lanzhou University,Lanzhou,Gansu,730000,China;Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province,Lanzhou,Gansu,730000,China) |
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| Keywords: | Robotic Laparoscopic Minimal invasive surgery Rectal cancer Postoperative short-term outcomes |
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