Nolan Heather R, Smith Betsy E, Honaker Michael D
Department of Surgery, The Medical Center of Central Georgia, Navicent Health, Mercer University School of Medicine, 800 1st St Suite 240, Macon, GA, 31220, USA.
J Robot Surg. 2018 Dec;12(4):659-664. doi: 10.1007/s11701-018-0798-1. Epub 2018 Mar 28.
Robotic-assisted surgery is increasingly being utilized for colorectal surgery. Data are scarce and contradictory when outcomes are compared between robotic and laparoscopic surgery. All patients undergoing minimally invasive colorectal surgery were compared from 2011 to 2016. Outcomes between the two groups were statistically analyzed. p < 0.05 was considered statistically significant. 185 patients underwent laparoscopic resection and 70 underwent robotic resection. Demographics, ASA score, and BMI were similar between the two groups (p > 0.05). There was no statistical difference in median length of stay between laparoscopic and robotic colon (both 4 days; p = 0.5) and rectal (6 vs 4.5 days; p = 0.2) resections. Median operative times were also similar between the two approaches for colon (150.5 vs 169.5 min, p = 0.2) and rectal (197.0 vs 231.5 min, p = 0.9) resections. There was also no difference in operative time between the two approaches for right (median = 137 vs 130.5 min; p = 0.9) and left (median = 162.0 vs 170.5 min; p = 0.6) colectomies. Robotic surgery results in similar operative times and length of stay as laparoscopic surgery for patients undergoing colon and rectal resections.
机器人辅助手术在结直肠手术中的应用越来越广泛。在比较机器人手术和腹腔镜手术的疗效时，数据稀缺且相互矛盾。对2011年至2016年期间所有接受微创结直肠手术的患者进行了比较。对两组的疗效进行了统计分析。p < 0.05被认为具有统计学意义。185例患者接受了腹腔镜切除术，70例接受了机器人切除术。两组患者的人口统计学特征、美国麻醉医师协会（ASA）评分和体重指数（BMI）相似（p > 0.05）。腹腔镜结肠切除术和机器人结肠切除术的中位住院时间无统计学差异（均为4天；p = 0.5），腹腔镜直肠切除术和机器人直肠切除术的中位住院时间也无统计学差异（分别为6天和4.5天；p = 0.2）。两种手术方式的结肠切除术（分别为150.5分钟和169.5分钟，p = 0.2）和直肠切除术（分别为197.0分钟和231.5分钟，p = 0.9）的中位手术时间也相似。两种手术方式的右半结肠切除术（中位时间分别为137分钟和130.5分钟；p = 0.9）和左半结肠切除术（中位时间分别为162.0分钟和170.5分钟；p = 0.6）的手术时间也无差异。对于接受结肠和直肠切除术的患者，机器人手术的手术时间和住院时间与腹腔镜手术相似。
