[达芬奇机器人经肛门微创手术治疗直肠肿瘤的效果]。

G J Zou, R Ma, X Y Liu, X P Yuan, S J Wang, B Ma, Q Q Chen, C J Zhang
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引用次数: 0

摘要

目的研究达芬奇机器人经肛门微创手术(R-TAMIS)治疗直肠肿瘤的疗效。方法回顾性选取2021年1月至2024年1月期间在中国人民解放军总医院第一医学中心接受R-TAMIS手术并定期随访的直肠肿瘤患者。随访时间为术后 1 周、2 周和 4 周,之后每 3 个月随访一次,直至 2024 年 1 月 20 日。观察了患者的围手术期情况、术后组织病理学结果和随访情况。结果:共纳入 17 例患者,其中男性 10 例,女性 7 例,年龄在 35-80 岁(59±13)之间。11例患者使用达芬奇® Si机器人进行手术,6例患者使用达芬奇® Xi机器人进行手术。切除的肿瘤距离肛门边缘的高度[M(Q1,Q3)]为3.5(3.0,3.8)厘米。手术总时间为55.0(50.0,55.0)分钟,平台安装时间为32.5(30.0,35.0)分钟。实际手术时间为 22.5(20.0,27.5)分钟。术中失血量为 9.2 (5.0, 10.0) 毫升。术后住院时间为 3.2(3.0,3.8)天。治疗总费用为(29 447±4 765)元。两名在新辅助化放疗后获得临床完全缓解的患者在术后一周出现切口裂开,经过四周的直肠冲洗治疗后裂口愈合。所有手术标本均完好无损,所有切除边缘均为阴性。随访共 44(31,73)周,无局部复发或远处转移。结论达芬奇机器人经肛门微创局部切除术可能是直肠肿瘤安全可行的治疗方案。
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[Effect of Da Vinci robotic transanal minimally invasive surgery for rectal neoplasms].

Objective: To investigate the efficacy of Da Vinci robotic transanal minimally invasive surgery (R-TAMIS) for rectal neoplasms. Methods: The patients of rectal neoplasms who underwent R-TAMIS and were regularly followed up at the First Medical Center of Chinese PLA General Hospital from January 2021 to January 2024 were retropectively selected. Follow-up visits were conducted at 1, 2, and 4 weeks postoperatively, and then every 3 months until January 20, 2024. The perioperative situation, postoperative histopathological results, and follow-up status of the patients were observed. Results: A total of 17 patients were included, including 10 males and 7 females, aged 35-80 (59±13) years. Eleven patients underwent surgery using the da Vinci® Si robot, while 6 patients underwent surgery using the da Vinci® Xi robot. The height of the resected tumor from the anal verge [M (Q1, Q3)] was 3.5 (3.0, 3.8) cm. The total operative time was 55.0 (50.0, 55.0) minutes, the platform installation time was 32.5 (30.0, 35.0) minutes. The actual surgical operation time was 22.5 (20.0, 27.5) minutes. Intraoperative blood loss was 9.2 (5.0, 10.0) ml. The postoperative hospital stay was 3.2 (3.0, 3.8) days. The total treatment cost was (29 447±4 765) yuan. Two patients who achieved clinical complete remission after neoadjuvant chemoradiotherapy experienced incision dehiscence one week postoperatively, which was resolved after four weeks of rectal irrigation therapy. All surgical specimens were intact, and all resection margins were negative. A total of 44(31,73) weeks were followed up, without local recurrence or distant metastasis. Conclusion: Da Vinci robotic transanal minimally invasive local resection may be a safe and feasible treatment option for rectal neoplasms.

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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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