da Vinci robotic system versus laparoscopic surgery for colorectal cancer
10.3760/cma.j.issn.1007-631X.2017.10.001
- VernacularTitle:达芬奇机器人手术系统与腹腔镜治疗结直肠癌疗效的对照研究
- Author:
Kai SHEN
1
;
Fan LIU
;
Bin LIANG
;
Kewei JIANG
;
Xiaodong YANG
;
Mujun YIN
;
Qiwei XIE
;
Shan WANG
;
Yingjiang YE
Author Information
1. 100044,北京大学人民医院胃肠外科
- Keywords:
Colorectal neoplasms;
Robotics;
Laparoscopes;
Colorectal sugery
- From:
Chinese Journal of General Surgery
2017;32(10):813-815
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the surgical outcomes of RAC versus LAC for the surgery of sigmoid-rectal cancer.Methods In this study,19 patients received robotic assisted colectomy (RAC)and 37 patients received laparoscopic assisted colectomy (LAC).Results The duration of surgery was longer in the RAC group (240 ± 76) min vs.(177 ± 74) min,t =3.006,P =0.004.The blood loss was less in the RAC group (67 ±40) vs.(153 ±151) ml,t =-2.422,P=0.019.The time to tolerate solid food was shorter in the RAC group (6.1 ±2.2)d vs.(7.4 ±4.4)d,t =-1.329,P =0.189 and the postoperative hospital stay was shorter in the RAC group (8.5 ± 2.6) d vs.(10.0 ± 3.6) d,t =-1.577,P =0.121.Mobidity and number of lymph nodes harvested were similar in both groups.7 cases were converted to open surgery in LAC group but none in RAC group.Conclusion Compared to laparoscopic surgery,Robotic-assisted colorectomy was safe and associated with less blood losses,lower conversion rate to open surgery and faster recovery of bowel function.
