机器人辅助与腹腔镜切口疝修补术在肿瘤手术后的比较：一项随机对照试验的短期和长期结果。
Robotic-assisted compared with laparoscopic incisional hernia repair following oncologic surgery: short- and long-term outcomes of a randomized controlled trial.
机构信息
Department of Gastroenterology. Digestive Surgery Division, Universidade de São Paulo, Av. Dr. Eneas de Carvalho Aguiar 255, São Paulo, SP, 05403-000, Brazil.
出版信息
J Robot Surg. 2023 Feb;17(1):99-107. doi: 10.1007/s11701-022-01403-y. Epub 2022 Mar 30.
BACKGROUND
Patients with abdominal site cancer are at risk for incisional hernia after open surgery. This study aimed to compare the short- and long-term outcomes of robotic-assisted (RVIHR) with the laparoscopic incisional hernia repair (LVIHR) in an oncologic institute.
METHODS
This is a single-blinded randomized controlled pilot trial. Patients were randomized into two groups: RVIHR and LVIHR.
RESULTS
Groups have similar baseline characteristics (LVIHR: N = 19; RVIHR: N = 18). No difference was noted in the length of hospital stay (RVIHR: 3.67 ± 1.78 days; LVIHR: 3.95 ± 2.66 days) and postoperative complications (16.7 versus 10.5%; p = 0.94). The mean operating time for RVIHR was significantly longer than LVIHR (RVIHR was 355.6 versus 293.5 min for LVIHR; p = 0.04). Recurrence was seen in three patients in LVIHR and two in RVIHR at 24-month follow-up, with no significant difference. (p > 0.99).
CONCLUSION
Laparoscopic and robotic-assisted incisional hernia repair show similar short- and long-term outcomes for cancer patients.
背景
接受开腹手术的腹部癌症患者有发生切口疝的风险。本研究旨在比较机器人辅助（RVIHR）与腹腔镜切口疝修补术（LVIHR）在肿瘤研究所的短期和长期结果。
方法
这是一项单盲随机对照试验。患者被随机分为两组：RVIHR 组和 LVIHR 组。
结果
两组患者的基线特征相似（LVIHR：N=19；RVIHR：N=18）。两组患者的住院时间（RVIHR：3.67±1.78 天；LVIHR：3.95±2.66 天）和术后并发症（16.7%比 10.5%；p=0.94）无差异。RVIHR 的平均手术时间明显长于 LVIHR（RVIHR 为 355.6 分钟，LVIHR 为 293.5 分钟；p=0.04）。在 24 个月的随访中，LVIHR 中有 3 例患者和 RVIHR 中有 2 例患者出现复发，但无显著差异（p>0.99）。
结论
腹腔镜和机器人辅助切口疝修补术在癌症患者中的短期和长期结果相似。
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