Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou, P.R. China.
Department of Anorectal Surgery, Gansu Provincial Hospital; Department of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, P.R. China.
Indian J Cancer. 2021 Apr-Jun;58(2):225-231. doi: 10.4103/ijc.IJC_86_19.
The robotic technique has been established as an alternative approach to laparoscopy for colorectal surgery. The aim of this study was to compare the short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer.
The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and September 2018. We evaluated patient demographics, perioperative characteristics, and pathologic examinations. Short-term outcomes included time to passage of flatus and length of postoperative hospital stay.
A total of 580 patients were included in the study. There were 271 patients in the robotic colorectal surgery (RCS) group and 309 in the laparoscopic colorectal surgery (LCS) group. The time to passage of flatus in the RCS group was 3.62 days shorter than the LCS group. The total costs were increased by 2,258.8 USD in the RCS group compared to the LCS group (P < 0.001).
The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of a shorter postoperative recovery time of bowel function and shorter hospital stays.
机器人技术已被确立为结直肠手术腹腔镜的替代方法。本研究旨在比较机器人辅助手术与腹腔镜手术治疗结直肠癌的短期疗效。
回顾性收集了 2015 年 7 月至 2018 年 9 月间机器人辅助或腹腔镜结直肠切除术的病例。评估了患者的人口统计学、围手术期特征和病理检查结果。短期疗效包括肛门排气时间和术后住院时间。
共有 580 例患者纳入研究。其中，机器人结直肠手术（RCS）组 271 例，腹腔镜结直肠手术（LCS）组 309 例。RCS 组肛门排气时间比 LCS 组短 3.62 天。RCS 组的总费用比 LCS 组增加了 2258.8 美元（P<0.001）。
本研究表明，结直肠癌症机器人手术对患者更有益，因为术后肠道功能恢复时间和住院时间更短。
