机器人胆囊切除术的新端口部位。
Robotic cholecystectomy with new port sites.
机构信息
Department of Surgery, School of Medicine, Ajou University, Suwon 442-749, South Korea.
出版信息
World J Gastroenterol. 2013 May 28;19(20):3077-82. doi: 10.3748/wjg.v19.i20.3077.
AIM
To introduce robotic cholecystectomy (RC) using new port sites on the low abdominal area.
METHODS
From June 2010 to June 2011, a total of 178 RCs were performed at Ajou University Medical Center. We prospectively collected the set-up time (working time and docking time) and console time in all robotic procedures.
RESULTS
Eighty-three patients were male and 95 female; the age ranged from 18 to 72 years of age (mean 54.6 ± 15.0 years). All robotic procedures were successfully completed. The mean operation time was 52.4 ± 17.1 min. The set-up time and console time were 11.9 ± 5.4 min (5-43 min) and 15.1 ± 8.0 min (4-50 min), respectively. The conversion rate to laparoscopic or open procedures was zero. The complication rate was 0.6% (n = 1, bleeding). There was no bile duct injury or mortality. The mean hospital stay was 1.4 ± 1.1 d. There was a significant correlation between the console time and white blood cell count (r = 0.033, P = 0.015). In addition, the higher the white blood cell count (more than 10000), the longer the console time.
CONCLUSION
Robotic cholecystectomy using new port sites on the low abdominal area can be safely and efficiently performed, with sufficient patient satisfaction.
目的
介绍在腹部低区新切口部位施行机器人胆囊切除术（RC）。
方法
自 2010 年 6 月至 2011 年 6 月，在 Ajou 大学医疗中心共施行 178 例 RC。前瞻性地收集所有机器人手术的设置时间（工作时间和对接时间）和控制台时间。
结果
83 例男性，95 例女性；年龄 1872 岁，平均年龄 54.6±15.0 岁。所有机器人手术均顺利完成。手术平均时间为 52.4±17.1min。设置时间和控制台时间分别为 11.9±5.4min（543min）和 15.1±8.0min（4~50min）。中转开腹或腹腔镜手术的比例为 0。并发症发生率为 0.6%（n=1，出血）。无胆管损伤或死亡病例。平均住院时间为 1.4±1.1d。控制台时间与白细胞计数呈显著相关（r=0.033，P=0.015）。此外，白细胞计数越高（超过 10000），控制台时间越长。
结论
在腹部低区新切口部位施行机器人胆囊切除术安全有效，患者满意度高。
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