Pan Xufeng, Gu Chang, Wang Rui, Zhao Heng, Shi Jianxin, Chen Haiquan
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Ann Thorac Surg. 2016 Dec;102(6):1892-1897. doi: 10.1016/j.athoracsur.2016.06.054. Epub 2016 Sep 9.
The purpose of this study was to identify the technical aspects and short-term results of robotic sleeve resection for lung cancer patients.
Twenty-one consecutive cases of robotic sleeve resection from September 2014 to September 2015 were reviewed.
There were 17 single sleeve resection (bronchial) and 4 double sleeve resection (bronchial and vascular) cases. Nineteen of 21 cases (90.5%) achieved R0 resection. The mean console time was 120.4 ± 37.3 minutes. The mean operation time was 158.4 ± 42.0 minutes. There was no massive bleeding (800 mL or more) during operation. The mean intraoperative blood loss was 157.1 ± 97.8 mL. One case (4.8%) was converted to thoracotomy owing to severe calcification of lymph node. There was no intraoperative death. The overall complication rate was 19.0%. The major complications were subcutaneous emphysema (14.4%), cardiac arrhythmia (9.6%), pneumonia (9.6%), pyothorax (9.6%), bronchial anastomosis bleeding (4.8%), bronchial anastomosis leakage (4.8%), and multiple organ failure (4.8%). The 30-day mortality rate was 4.8%. The mean postoperative length of stay was 10.7 ± 7.6 days.
Robotic sleeve resection is technically feasible and can be carried out with acceptable short-term results.
本研究的目的是确定肺癌患者机器人袖状切除术的技术要点和短期结果。
回顾了2014年9月至2015年9月连续21例机器人袖状切除术病例。
单袖状切除术（支气管）17例，双袖状切除术（支气管和血管）4例。21例中有19例（90.5%）实现了R0切除。平均控制台时间为120.4±37.3分钟。平均手术时间为158.4±42.0分钟。术中无大出血（800毫升或更多）。平均术中失血量为157.1±97.8毫升。1例（4.8%）因淋巴结严重钙化改行开胸手术。无术中死亡。总体并发症发生率为19.0%。主要并发症为皮下气肿（14.4%）、心律失常（9.6%）、肺炎（9.6%）、脓胸（9.6%）、支气管吻合口出血（4.8%）、支气管吻合口漏（4.8%）和多器官功能衰竭（4.8%）。30天死亡率为4.8%。术后平均住院时间为10.7±7.6天。
机器人袖状切除术在技术上是可行的，短期结果可以接受。
