Da Vinci robot assisted radical gastrectomy with carbon nanoparticle lymph node dyeing for advanced gastric cancer
10.3760/cma.j.issn.1007-631X.2018.01.003
- VernacularTitle:达芬奇机器人辅助联合纳米碳在进展期胃癌根治术中的应用
- Author:
Xiaopeng WANG
1
;
Jin GUO
;
Yuan LI
;
Hao SHI
;
Yang CHE
;
He SU
Author Information
1. 甘肃省人民医院普外科
- Keywords:
Stomach neoplasms;
Carbon nanoparticle;
Da Vinci robot;
Lymph nodes
- From:
Chinese Journal of General Surgery
2018;33(1):8-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of carbon nanoparticle lymphatic tracer in Da Vinci robot-assisted radical gastrectomy for advanced gastric cancer.Methods The clinical data of 63 advanced gastric cancer patients in Gansu Provincal Hospital in 2016 were analyzed retrospectively.Patients were divided into three groups:robot with carbon nanoparticle group,laprascopy with carbon nanoparticle group and laprascopy surgury group.Numbers of harvested lymph were compared between the 3 groups,and the perioperative complications were evaluated.Results The number of harvested lymph nodes in carbon nanoparticle group (31.5 ± 3.8) was significantly higher than those of laprascopy joint carbon nanoparticle group (25.3 ± 2.6),F =5.5,P =0.03 and laprascopy group (21.1 ± 2.7),F =6.1,P=0.01.The number of blackdyed harvested lymph node was 481 (76.2％) and the metastasis rate of black-dyed lymph node was 26.8％ in robot joint carbon nanoparticle group.There was no significant difference in the metastasis rate of black-dyed between the robot joint carbon nanoparticle group and laprascopy joint carbon nanoparticle group,x2 =0.17,P =0.22.Condusions The application of diluted carbon nanoparticle lymphatic tracer helps in the dissection of lymph nodes in Da Vinci robot-assisted radical gastrectomy for advanced gastric cancer.
