机器人辅助纵隔手术：中国首例连续167例病例系列报道
Robotic-assisted mediastinal surgery: the first Chinese series of 167 consecutive cases.
作者信息
Li Hanyue, Li Jiantao, Huang Jia, Yang Yunhai, Luo Qingquan
机构信息
Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China.
出版信息
J Thorac Dis. 2018 May;10(5):2876-2880. doi: 10.21037/jtd.2018.04.138.
BACKGROUND
To report the first and largest series of robotic-assisted mediastinal surgeries performed in a single center by the same surgical team in mainland China.
METHODS
From May 2009 to June 2017, 167 patients (100 males, 67 females), with a mean age of 50.2 years (range, 12-78 years), underwent robotic surgery for the treatment of a mediastinal mass. Data regarding the operation time, docking time, blood loss, conversion rate, morbidity, mortality and survival follow-up were collected and analyzed.
RESULTS
The mean operation time and docking time were 70.01±29.49 and 10.12±2.77 min. There were 56 thymomas, 52 cysts, 17 schwannomas, 9 bronchogenic cysts, 6 thymic hyperplasias, 6 foregut cysts, 4 squamous carcinomas and 17 others. The mean drainage on the first day after operation was 122.83±107.58 mL, and the mean post-operative drainage duration and post-operative hospital stay were 2.95 days, ranging from 1-7 days, and 4.09 days, ranging from 2-10 days, respectively. The post-operative complication rate was 3%, and the conversion rate was 1.8%. No perioperative mortality occurred. One patient died due to tumor recurrence.
CONCLUSIONS
Our experience indicates that this robotic surgical system is a safe and established technique for mediastinal mass resection.
背景
报告中国大陆同一手术团队在单一中心进行的首例也是最大规模的机器人辅助纵隔手术系列病例。
方法
2009年5月至2017年6月，167例患者（男性100例，女性67例），平均年龄50.2岁（范围12 - 78岁），接受机器人手术治疗纵隔肿物。收集并分析手术时间、对接时间、失血量、中转率、发病率、死亡率及生存随访等数据。
结果
平均手术时间和对接时间分别为70.01±29.49分钟和10.12±2.77分钟。有56例胸腺瘤、52例囊肿、17例神经鞘瘤、9例支气管源性囊肿、6例胸腺增生、6例前肠囊肿、4例鳞癌及17例其他病例。术后第一天平均引流量为122.83±107.58毫升，术后平均引流持续时间和术后住院时间分别为2.95天（范围1 - 7天）和4.09天（范围2 - 10天）。术后并发症发生率为3%，中转率为1.8%。围手术期无死亡病例。1例患者因肿瘤复发死亡。
结论
我们的经验表明，这种机器人手术系统是一种安全且成熟的纵隔肿物切除术技术。
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