Da Vinci robot surgical system versus traditional open surgery for old patients with upper abdominal surgical diseases: a case control study
10.3760/cma.j.issn.1007-631X.2017.07.015
- VernacularTitle:达芬奇机器人与传统开腹手术在老年上腹部外科疾病中的应用比较
- Author:
Yunping LAN
;
Chunling LI
;
Jiajia LI
;
Yaqiu WU
;
Fan ZENG
;
Yu LEI
;
Xiaobo HUANG
- Keywords:
Robotics;
Aged;
Surgical procedures,minimally invasive
- From:Chinese Journal of General Surgery
2017;32(7):595-597
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical application of Da Vinci robot surgical system (RSS) with traditional open surgery (TOS).Methods From Feb 2015 to Jul 2016,48 cases of upper abdominal surgical disease patients were divided into RSS group (23 cases) and TOS group (25 patients) randomly.Results The anesthesia time [(194 ±16)min vs.(181 ±11)min,t=3.262,P=0.002] and operation time [(167 ± 14) min vs.(158 ± 14) min,t =2.292,P =0.027] were much longer in the RSS,while the blood loss during operation significantly less than the TOS [(128 ± 62) ml vs.(190 ± 86) ml,t =-2.886,P =0.006].The RSS has obvious advantages in 24 h-drainage [(69 ± 27) ml vs.(114 ± 54) ml.t =-3.680,P =0.001],time to out-of-bed activity [(27.7 ± 8.0) h vs.(35.7 ± 9.9) h,t =-3.067,P =0.004],BPS,postoperative exhausting time[(27.2 ±5.9)h vs.(32.8 ±8.3)h,t =-2.690,P =0.01] and length of hospital stay [(10.4 ± 1.8) d vs.(11.8 ± 1.9) d,t =-2.600,P =0.013].But the total hospital cost was higher in RSS [(117 000 ± 10 000) yuan vs.(77 000 ± 8 000) yuan,t =15.087,P =0.000)].Conclusions The RSS is a much minimally invasive surgery,reducing blood loss and postoperative pain,promoting rapid recovery,shortening hospital stay.
