机器人肝切除术与腹腔镜肝切除术治疗结直肠癌肝转移的对比研究

目的 探讨对比机器人与腹腔镜肝切除术治疗结直肠癌肝转移的安全性和有效性.方法 回顾性分析2019年4月至2020年6月南京大学医学院附属鼓楼医院肝胆外科实施的结直肠癌肝转移手术切除患者资料,其中达芬奇机器人肝切除术(机器人组)25例,腹腔镜肝切除术(腹腔镜组)28例,对比分析两组临床基本信息、手术时间、术中出血输血情况...

Comparative study on robotic hepatectomy and laparoscopic hepatectomy for colorectal metastatic liver cancer

Objective To compare the safety and efficacy of robotic and laparoscopic hepatectomy in the treatment of colorectal metastatic liver cancer. Methods Data of patients with colorectal metastatic liver cancer who underwent Da Vinci robotic hepatectomy from Apr. 2019 to Jun. 2020 in Drum Tower Hospital were retrospectively analyzed, including 25 cases of robot assisted hepatectomy (robot group) and 28 cases of laparoscopic hepatectomy (laparoscopic group). The following information were compared between two groups,including postoperative hospitalization time, anal exhaust time, defecation time, postoperative feeding time, ambulation time, liver function 24 hours after operation and postoperative complications. Results In terms of operation, the operation time [(155.4±40.2)min vs (184.5±56.8)min], intraoperative bleeding [(205.5±124.8)mL vs (352.8±206.6)mL], blood transfusion cases (1 vs 8) and conversion to laparotomy cases (1 vs 9) in robot group were better than those in the laparoscopic group (P<0.05). In terms of postoperative recovery, postoperative hospitalization time [(4.5±1.3)d vs (6.3±2.2)d], anal exhaust time [(22.4±8.5)h vs (30.8±10.1)h] and postoperative feeding time [(1.1±0.9)d vs (1.8±1.2)d] in robot group were significantly less than those in laparoscopic group (P<0.05). However, there was no significant difference in liver function 24 hours after operation between the two groups (P>0.05). In terms of postoperative complications, although there was no significant difference between the two groups, the incidence of complications in the robot group was less than that in the laparoscopic group.Conclusion Robot assisted hepatectomy has the advantages of shorter operation time, lower conversion rate to laparotomy, which improves the postoperative recovery for patients with colorectal metastatic liver cancer.