Ji Wen-bin, Zhao Zhi-ming, Dong Jia-hong, Wang Hong-guang, Lu Fang, Lu Hong-wei
Department of Hepatobiliary Surgery, Hospital and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Chinese PLA Postgraduate Medical School, Beijing, China.
Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):123-6. doi: 10.1097/SLE.0b013e31820ad553.
Surgical robotic systems are superior to traditional laparoscopic technologies with regard to generation of 3-dimensional images, and they also offer better instrumentation. Here, we report on our early results for 1-stage robot-assisted laparoscopic cholecystectomy and laparoscopic common bile duct exploration with primary closure.
From March 2009 to July 2009, five consecutive patients underwent laparoscopic cholecystectomy and laparoscopic common bile duct exploration with primary closure assisted by the da Vinci robotic system. Patient demographics, intraoperative findings, postoperative complications, and length of postoperative hospital stay were recorded and analyzed.
No patient required conversion to laparotomy or conventional laparoscopy. The average robotic console time was 176.0±32.1 minutes. One female patient developed postoperative pulmonary infection that was successfully treated medically; the others' postoperative courses were uneventful. The average length of postoperative stay was 5.8±2.5 days. At follow up, all 5 patients were free of recurrent stones.
Robotic-assisted laparoscopic cholecystectomy and laparoscopic common bile duct exploration with primary closure are effective and safe for selected patients. Future experience is needed to further study the efficacy and role of this novel approach.
手术机器人系统在生成三维图像方面优于传统腹腔镜技术，并且其器械操作也更佳。在此，我们报告一期机器人辅助腹腔镜胆囊切除术及腹腔镜胆总管探查并一期缝合的早期结果。
2009年3月至2009年7月，连续5例患者在达芬奇机器人系统辅助下接受了腹腔镜胆囊切除术及腹腔镜胆总管探查并一期缝合。记录并分析患者的人口统计学资料、术中发现、术后并发症及术后住院时间。
无患者需要转为开腹手术或传统腹腔镜手术。平均机器人操作时间为176.0±32.1分钟。1例女性患者发生术后肺部感染，经药物治疗成功治愈；其他患者术后过程顺利。术后平均住院时间为5.8±2.5天。随访时，所有5例患者均无结石复发。
机器人辅助腹腔镜胆囊切除术及腹腔镜胆总管探查并一期缝合对选定患者有效且安全。需要更多的经验来进一步研究这种新方法的疗效和作用。
