首页|达芬奇机器人与腹腔镜直肠癌根治术对直肠癌患者手术情况、术后恢复及术后并发症的影响

达芬奇机器人与腹腔镜直肠癌根治术对直肠癌患者手术情况、术后恢复及术后并发症的影响

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目的:探究达芬奇机器人与腹腔镜直肠癌根治术效果.方法:选择柳州市工人医院 2021 年1 月—2022 年 12 月收治的直肠癌患者 80 例,按照随机数字表法将其分为对照组、观察组,各 40 例.对照组采用腹腔镜直肠癌根治术,观察组应用达芬奇机器人行手术.对比两组手术情况、术后恢复及术后并发症.结果:观察组手术时间、术中出血量均优于对照组(P<0.05).两组标本长度、肿瘤下缘与下切缘间距、淋巴结清扫个数比较,差异均无统计学意义(P>0.05).观察组排气时间、进流质时间、拔尿管时间均优于对照组(P<0.05).两组住院时间比较,差异无统计学意义(P>0.05).观察组重度疼痛率低于对照组(P<0.05).观察组并发症发生率低于对照组(P<0.05).结论:应用达芬奇机器人可以显著改善排气时间、进流质时间、拔尿管时间,促进患者术后恢复,减少并发症发生率及疼痛程度.
Effects of Da Vinci Robot and Laparoscopic Radical Resection of Rectal Cancer on the Surgical Status,Postoperative Recovery,and Postoperative Complications of Patients with Rectal Cancer
Objective:To explore the effect of Da Vinci robot and laparoscopic radical resection of rectal cancer.Method:From January 2021 to December 2022,80 patients with rectal cancer admitted to Liuzhou Worker's Hospital were selected,and divided into a control group and an observation group by random number table method,with 40 cases in each group.The control group underwent laparoscopic radical resection of rectal cancer,while the observation group underwent surgery using a Da Vinci robot.The surgical situation,postoperative recovery,and postoperative complications between the two groups were compared.Result:The operative time and intraoperative bleeding volume in the observation group were better than those in the control group(P<0.05).There were no statistically significant differences between the two groups in specimen length,distance between the lower margin of the tumor and the lower incisional margin,and number of lymph node dissection(P>0.05).The observation group were superior to the control group in terms of exhaust time,inflow quality time,and catheter removal time(P<0.05).There was no statistically significant difference in hospital stay between the two groups(P>0.05).Severe pain rate in the observation group were lower than that in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of the Da Vinci robot can significantly improve exhaust time,inflow quality time,catheter removal time,promote postoperative recovery,reduce the probability of complications and pain level.

Da Vinci robotLaparoscopic radical resection of rectal cancerRectal cancer

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柳州市工人医院普通外科 广西 柳州 545005

达芬奇机器人 腹腔镜直肠癌根治术 直肠癌

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(5)
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