机器人辅助腹腔镜手术治疗技术难度较大的直肠癌的短期疗效。
Short-term Outcomes Following Robotic-assisted Laparoscopic Surgery for Technically Demanding Rectal Cancer.
机构信息
Department of Surgery, Yokohama City University, Yokohama, Japan
Department of Surgery, Yokohama City University, Yokohama, Japan.
出版信息
Anticancer Res. 2020 Apr;40(4):2337-2342. doi: 10.21873/anticanres.14201.
AIM
To clarify the benefits of robotic-assisted laparoscopic surgery (RALS) regarding short-term outcomes in patients with technically demanding rectal cancer (TDRC).
PATIENTS AND METHODS
Between April 2015 and September 2019, 88 TDRC cases were identified from our database, and divided into the RALS (n=32) and conventional laparoscopic surgery (CLS) (n=56) groups. TDRC was defined as mid-rectal tumors presenting at least one of the following risk factors: Male sex, high body mass index, T4 stage, bulky tumor, or low rectal tumor.
RESULTS
Patient baseline characteristics were similar in both groups. One and 15 patients developed anastomotic leakage in the RALS and CLS groups (3% vs. 27%, p<0.01), respectively. The postoperative complication rate was lower in the RALS group (19% vs. 43%, p=0.03). Multivariate analysis showed the surgical approach to be an independent predictor for anastomotic leakage.
CONCLUSION
RALS has potential advantages to prevent anastomotic leakage complications in patients with TDRC.
目的
明确机器人辅助腹腔镜手术（RALS）在技术难度较大的直肠癌（TDRC）患者短期结局方面的优势。
患者与方法
从我们的数据库中确定了 88 例 TDRC 病例，分为 RALS（n=32）和传统腹腔镜手术（CLS）（n=56）组。TDRC 定义为至少存在以下一种危险因素的中直肠肿瘤：男性、高体质指数、T4 期、肿瘤体积大或低位直肠肿瘤。
结果
两组患者的基线特征相似。RALS 组和 CLS 组各有 1 例和 15 例患者发生吻合口漏（3%比 27%，p<0.01）。RALS 组的术后并发症发生率较低（19%比 43%，p=0.03）。多变量分析显示手术方式是吻合口漏的独立预测因素。
结论
RALS 有潜力预防 TDRC 患者的吻合口漏并发症。
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