首页|机器人辅助腹腔镜与传统腹腔镜治疗肾上腺肿瘤的疗效对比分析

机器人辅助腹腔镜与传统腹腔镜治疗肾上腺肿瘤的疗效对比分析

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目的 对比分析机器人辅助腹腔镜手术与传统腹腔镜手术治疗肾上腺肿瘤的手术效果,评估二者之间的优缺点.方法 回顾性分析作者医院泌尿外科2020-08/2021-08月由同一术者行肾上腺肿瘤切除术49例患者的病历资料.其中,机器人组27例,传统腹腔镜组22例.比较两组患者的术中出血量、手术时间、术后引流时间、术后住院时间.结果 机器人组与传统腹腔镜组均手术成功,无术中转开放手术患者,术后无并发症发生.两组患者在手术时间上比较差异无统计学意义(P>0.05).机器人组患者较传统腹腔镜组患者术中出血量少、术后引流时间和术后住院时间短,且差异具有统计学意义(P均<0.05).结论 对于手术切除肾上腺肿瘤,机器人辅助腹腔镜手术相比于传统腹腔镜手术在手术时间上并无明显差异,但在控制术中出血量及术后恢复方面有一定的优势.
Comparative Analysis of the Curative Effects of Robot-assisted Laparoscopy and Traditional Laparoscopy in the Treatment of Adrenal Tumors
Objective To evaluate the advantages and disadvantages of robot-assisted laparoscopic surgery and tra-ditional laparoscopic surgery in the treatment of adrenal tumors.Methods The clinical data of 49 patients who underwent adrenalectomy by the same surgeon from August 2020 to August 2021 in the urology department of author's hospital were retrospectively analyzed,including 27 patients in the robot group and 22 patients in the traditional laparoscopic group.In-traoperative blood loss,operative time,postoperative drainage time,postoperative hospitalization of the patients in two groups were compared.Results All operations were successful in the robot group and the traditional laparoscopic group without conversion to open surgery and postoperative complications.There was no significant difference in the operation time between the two groups(P>0.05).Compared with the traditional laparoscopic group,the robot group had less in-traoperative blood loss,shorter postoperative drainage time and shorter postoperative hospitalization,and the differences were statistically significant(all P<0.05).Conclusion Compared with traditional laparoscopic surgery,robot-assisted laparoscopic surgery has no significant difference in operation time for surgical removal of adrenal tumors,but it has cer-tain advantages in controlling intraoperative bleeding and postoperative recovery.

Adrenal tumorRobot-assisted laparoscopyTraditional laparoscopic surgeryCurative effect analysis

谢豪豪、潘铁军、涂忠、宋健、谢秋波、尹震

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430065 湖北武汉,武汉科技大学医学院

中部战区总医院泌尿外科

肾上腺肿瘤 机器人辅助腹腔镜 传统腹腔镜 疗效分析

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(1)
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