单中心151例机器人直肠肿瘤手术效果与体会

目的探讨达芬奇机器人手术系统应用于直肠肿瘤手术的效果,总结手术经验。方法回顾性分析我院2012年1月-2014年7月行达芬奇机器人直肠手术151例的临床资料。结果 150例手术顺利完成,1例中转开腹。其中前切除术106例,APR手术39例,Hartmann手术6例。平均手术时间分别为240 min,239 min和260 min,术中平均失血量53 ml,清扫淋巴结数量平均13.2枚。术后排气时间1~7 d,平均3 d。术后肠梗阻3例,吻合口瘘2例,吻合口出血1例,均行保守治疗。1例因肠系膜血管出血时气腹机故障而中转开腹止血。无死亡病例。结论达芬奇机器人行直肠肿瘤手术安全、可靠、优势明显。

Single center experience of 151 consecutive cases of robotic surgery for rectal tumor

Objective To investigate the effect of resection of rectal tumor with the da Vinci robotic surgical system and summarize surgical experience.Methods Clinical data of 151 cases of rectal tumor which received robotic radical resection from Jan.2012 to Jul.2014 were reviewed.Results All patients except one case were received radical resection successfully with robotic surgical system of da Vinci.There were 106 cases performed anterior resection,39 cases performed APR operation and 6 cases performed Hartmann operation.The average operational time was 240 min,239 min and 260 min.The mean blood loss during operation was 53 ml.The average number of lymph node dissected was 13.2.The average time for gastrointestinal function recovery was 3 d,ranged 1 to 7 d.3 cases of postoperative bowel obstruction, 2 cases of anastomotic leak and 1 case of anastomotic bleeding were cured by conservative therapy.Only one conversion for intraoperative mesenteric bleeding with pneumoperitoneum machine′s mechanical failure. Conclusion The resection of rectal cancer surgery with Da Vinci robotic is safe,reliable,and exclusive.