Analysis and prevention of perioperative complications of Da Vince robotic radical resection for lung cancer
10.3760/cma.j.cn112434-20200803-00361
- VernacularTitle:机器人肺癌根治术围手术期并发症及预防策略分析
- Author:
Wei XU
1
;
Shiguang XU
;
Bo LI
;
Xingchi LIU
;
Hao MENG
;
Renquan DING
;
Xilong WANG
;
Lefei ZHAO
;
Shumin WANG
Author Information
1. 北区战区总医院胸外科，沈阳 110016
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(9):539-542
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics, causes and preventive strategies of intraoperative and postoperative complications of Da Vince robotic radical resection for lung cancer.Methods:From January 2018 to June 2020, 306 patients with lung cancer who underwent robotic radical resection of lung cancer in our department were reviewed, the perioperative data were statistically analyzed. There were 154 males and 152 females, aged(58.5±10.3) years old, 238 lobectomy cases and 68 segmental lobectomy cases.Results:There were no perioperative death, no conversion to thoracotomy, and no intraoperative vascular injury. Intraoperative blood loss was(41.5±37.4)ml, 302 cases(98.7%) underwent R0 resection, 54 cases(17.6%) of intraoperative bleeding from troca mouth of robot operating arm. 32 cases(10.5%) of postoperative complications, including 3 cases(1.0%) of chylothorax, 1 case(0.3%) of pleural effusion, 28 cases( 9.2%) of alveolar fistula over 7 days with 5 cases of large area subcutaneous emphysema.Conclusion:The most common intraoperative complication in robotic lung cancer radical operation is troca bleeding, and the most common postoperative complication is alveolar fistula. Robot surgery is safe, and targeted preventive measures can reduce the incidence of complications.
