Investigations of robotics and laparoscopy in minimally invasive hepatectomy

Biomedical Technology Pub Date : 2023-09-01 DOI:10.1016/j.bmt.2022.12.001

Jinglin Wang , Yuyan Chen , Senzhe Xia, Xueqian Qin, Shujun Liu, Haozhen Ren

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Abstract

The concept of minimally invasive liver surgery has been widely accepted due to the advantages of fast recovery. Robotic hepatectomy is different from laparoscopic hepatectomy due to its fixed joint instruments, operation mode and magnification. This manuscript aims to compare the safety and efficacy of robotic and laparoscopic hepatectomy in the treatment of liver diseases. In this manuscript, we retrospectively studied 246 patients (143 with robotic hepatectomy and 103 with laparoscopic hepatectomy). The clinical basic information, operation time, intraoperative bleeding, conversion to laparotomy, postoperative hospital stay, anal exhaust time, postoperative eating time, ambulation time, and postoperative hematological indicators were analyzed. Robotic hepatectomy has certain advantages in shortening the length of hospital stay (4.9 ± 1.3 VS 6.8 ± 2.2 days, P < 0.001) and reducing intraoperative bleeding (174.8 ± 142.7 VS 341.2 ± 187.3 ml, P < 0.001) compared with laparoscopic hepatectomy. It is demonstrated that robotic hepatectomy is an outstanding surgical strategy for clinical application.

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机器人技术和腹腔镜技术在微创肝切除术中的应用研究

微创肝脏手术的概念由于其快速恢复的优点而被广泛接受。机器人肝切除术与腹腔镜肝切除术的不同之处在于其固定的关节器械、手术方式和放大倍数。本文旨在比较机器人和腹腔镜肝切除术治疗肝病的安全性和有效性。在这份手稿中，我们回顾性研究了246名患者（143名机器人肝切除术，103名腹腔镜肝切除术）。分析临床基本情况、手术时间、术中出血、转开腹、术后住院时间、肛门排气时间、术后进食时间、行走时间、术前血液学指标。机器人肝切除术在缩短住院时间方面具有一定优势（4.9±1.3与6.8±2.2天，P<；0.001）和减少术中出血（174.8±142.7对341.2±187.3ml，P<；0.001）。研究表明，机器人肝切除术是一种出色的临床应用手术策略。

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