单孔腹腔镜与单孔机器人右半结肠切除术：术后短期结果。
Single-port laparoscopic versus single-port robotic right hemicolectomy: Postoperative short-term outcomes.
机构信息
Department of Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
出版信息
Int J Med Robot. 2023 Jun;19(3):e2509. doi: 10.1002/rcs.2509. Epub 2023 Mar 16.
BACKGROUND
This study aimed to compare the short-term postoperative outcomes of single-port robotic (SPR) using da Vinci SP system and single port laparoscopic (SPL) right hemicolectomy and determine whether the novel SPR system is safe and feasible.
METHODS
From January 2019 to December 2020, a total of 141 patients (41 patients for SPR and 100 patients for SPL) who electively underwent right hemicolectomy for colon cancer performed by a single surgeon were included in the study.
RESULTS
The time to the first bowel movement was 3 (range, 1-4) days after surgery in the SPR group and 3 (2-9, range) days in the SPL group (p = 0.017). However, there were no differences in pathologic outcomes or postoperative complications.
CONCLUSIONS
SPR is a safe and feasible surgical technique and has an advantage in the time to first postoperative bowel movement over SPL with no other complications.
背景
本研究旨在比较达芬奇 SP 系统单孔机器人（SPR）与单孔腹腔镜（SPL）右半结肠切除术的短期术后结果，并确定新型 SPR 系统是否安全可行。
方法
2019 年 1 月至 2020 年 12 月，共有 141 名（41 名 SPR，100 名 SPL）接受择期右半结肠切除术的结肠癌患者被纳入研究，均由同一位外科医生完成。
结果
SPR 组患者术后首次排气时间为 3（范围，1-4）天，SPL 组为 3（2-9，范围）天（p=0.017）。然而，两组在病理结果或术后并发症方面无差异。
结论
SPR 是一种安全可行的手术技术，与 SPL 相比，首次术后排气时间具有优势，且无其他并发症。
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