Department of Cardiothoracic Surgery, Liuzhou Workers Hospital, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545007, China.
Department of Scientific Research, Liuzhou Workers Hospital, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545007, China.
J Healthc Eng. 2022 Mar 16;2022:2011062. doi: 10.1155/2022/2011062. eCollection 2022.
In this article, we have explored the feasibility and safety of Da Vinci's robotic surgery system in the radical resection of lung cancer. For this purpose, 73 cases of patients with lung cancer who underwent radical resection in the thoracic surgery of our hospital, particularly from July to September 2020, were collected, of which 22 cases operated with the Da Vinci robot were the Da Vinci robot group, including 11 men and 11 women. The 51 patients who underwent thoracoscopic surgery were in the thoracoscopic group, including 24 males and 27 females. All 22 patients in the Da Vinci robot group completed the operation under the Da Vinci robot operation system without conversion to thoracotomy. In the thoracoscopic group, 49 patients successfully completed the operation under thoracoscopy, and 2 patients were converted to thoracotomy. There was a significant difference between the two groups in the average operation time and the number of lymph nodes, but there was no significant difference in the amount of intraoperative bleeding and postoperative hospital stay. Compared with thoracoscopic radical lung cancer surgery, Da Vinci's robotic surgery system is equally safe and effective, and more lymph nodes are cleaned during surgery.
在本文中，我们探讨了达芬奇机器人手术系统在肺癌根治性切除中的可行性和安全性。为此，收集了我院胸外科 73 例肺癌根治性切除术患者，其中 2020 年 7 月至 9 月 22 例行达芬奇机器人手术患者为达芬奇机器人组，男 11 例，女 11 例；51 例行胸腔镜手术患者为胸腔镜组，男 24 例，女 27 例。达芬奇机器人组 22 例患者均在达芬奇机器人操作系统下完成手术，无一例中转开胸。胸腔镜组 49 例患者均在胸腔镜下成功完成手术，2 例中转开胸。两组患者的平均手术时间和淋巴结清扫数目差异有统计学意义，但术中出血量和术后住院时间差异无统计学意义。与胸腔镜下肺癌根治术相比，达芬奇机器人手术系统同样安全有效，术中可清扫更多的淋巴结。
