机器人远端胰腺切除术的手术效果与腹腔镜和开放手术方法相似吗？来自单一医疗中心的比较研究。
Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.
作者信息
Duran Hipolito, Ielpo Benedetto, Caruso Riccardo, Ferri Valentina, Quijano Yolanda, Diaz Eduardo, Fabra Isabel, Oliva Catalina, Olivares Sergio, Vicente Emilio
机构信息
Sanchinarro Hospital, San Pablo University, General Surgery Department, Calle Oña 10, 28050, Madrid, Spain.
出版信息
Int J Med Robot. 2014 Sep;10(3):280-5. doi: 10.1002/rcs.1569. Epub 2014 Jan 16.
INTRODUCTION
In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.
METHODS
Retrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and 2013 with three different approaches: 16 robotic, 18 laparoscopic and 13 open surgeries.
RESULTS
A significant difference was observed in blood loss in the open group (mean 3.44 units) compared with the robotic (mean 0.5 units) and laparoscopic (0 units) technique (P = 0.046). A shorter hospital stay was observed for the robotic group (8.87 days) compared with the laparoscopic (19.16 days) and open groups (20.44 days) (P = 0.035). Morbidity was lower in the robotic group (0%) compared with the Laparoscopic (44%) and Open groups (46%) (P = 0.014).
CONCLUSIONS
These findings support the proposition that robotic distal pancreatectomy is as safe as the laparoscopic approach.
引言
在胰腺手术领域，机器人手术尚未与开放手术和腹腔镜手术进行对比评估。对机器人辅助远端胰腺切除术的结果进行了分析，并将结果与腹腔镜手术和开放手术的结果进行比较。
方法
回顾性分析了2008年至2013年间在我院接受远端胰腺切除术的47例患者，采用三种不同的手术方式：16例机器人手术、18例腹腔镜手术和13例开放手术。
结果
与机器人手术（平均0.5单位）和腹腔镜手术（0单位）相比，开放手术组的失血量（平均3.44单位）有显著差异（P = 0.046）。与腹腔镜手术组（19.16天）和开放手术组（20.44天）相比，机器人手术组的住院时间更短（8.87天）（P = 0.035）。机器人手术组的并发症发生率（0%）低于腹腔镜手术组（44%）和开放手术组（46%）（P = 0.014）。
结论
这些发现支持机器人辅助远端胰腺切除术与腹腔镜手术一样安全的观点。
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