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基于碳纳米粒子混悬液注射引导的胃癌机器人辅助与腹腔镜胃切除术的短期疗效比较。

Comparison of short-term outcomes between robotic-assisted and laparoscopic gastrectomy guided by carbon nanoparticle suspension injection in gastric cancer.

机构信息

Department of Gastrointestinal Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Rd., Nanjing, 210008, China.

出版信息

World J Surg Oncol. 2022 Sep 5;20(1):282. doi: 10.1186/s12957-022-02755-3.

Abstract

BACKGROUND

The clinical application of robotic-assisted gastrectomy remains controversial, especially as clinical studies of this operation navigated by carbon nanoparticle suspension injection (CNSI) have not been conducted. This study aims to assess the perioperative safety and efficacy of CNSI-guided robotic-assisted gastrectomy in patients with gastric cancer by focusing on short-term outcomes.

METHODS

A retrospective analysis of patients who underwent CNSI-guided laparoscopic or robotic-assisted gastrectomy with a pathological diagnosis of gastric cancer was conducted. Data on demographics, surgical management, clinical-pathological results and short-term outcomes were compared among the groups.

RESULTS

A total of 126 eligible patients were separated into the robotic-assisted gastrectomy (RAG) group (n = 16) and the laparoscopic gastrectomy (LG) group (n = 110) in total. The operation time of the RAG group is longer than the LG group (p = 0.0000). When it comes to perioperative and short-term complications, there exists no statistical difference between the two groups.

CONCLUSION

The time required for CNSI-guided robotic-assisted gastrectomy is longer than that for CNSI-guided laparoscopic gastrectomy. CNSI-guided robotic-assisted gastrectomy is safe and effective.

摘要

背景

机器人辅助胃切除术的临床应用仍存在争议,特别是由于尚未进行经碳纳米粒子混悬液注射(CNSI)引导的这种手术的临床研究。本研究旨在通过关注短期结果,评估 CNSI 引导的机器人辅助胃癌胃切除术的围手术期安全性和疗效。

方法

对经 CNSI 引导的腹腔镜或机器人辅助胃癌切除术且病理诊断为胃癌的患者进行回顾性分析。比较了各组患者的人口统计学、手术管理、临床病理结果和短期结局数据。

结果

总共纳入了 126 名符合条件的患者,分为机器人辅助胃切除术(RAG)组(n=16)和腹腔镜胃切除术(LG)组(n=110)。RAG 组的手术时间长于 LG 组(p=0.0000)。在围手术期和短期并发症方面,两组之间无统计学差异。

结论

CNSI 引导的机器人辅助胃切除术所需的时间长于 CNSI 引导的腹腔镜胃切除术。CNSI 引导的机器人辅助胃切除术是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/9442920/c9cafc739007/12957_2022_2755_Fig1_HTML.jpg

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