肥胖对机器人胰十二指肠切除术围手术期结局的影响：一项倾向评分匹配研究。
Impact of Obesity on Perioperative Outcomes in Robotic Pancreaticoduodenectomy: A Propensity Score-Matched Study.
作者信息
Shyr Bor-Uei, Shyr Bor-Shiuan, Chen Shih-Chin, Wang Shin-E, Shyr Yi-Ming
机构信息
Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital and National Yang Ming Chiao Tung University, Taipei, Taiwan.
Therapeutic and Research Center of Pancreatic Cancer, Taipei Veterans General Hospital and National Yang Ming Chiao Tung University, Taipei, Taiwan.
出版信息
Int J Med Robot. 2024 Dec;20(6):e70034. doi: 10.1002/rcs.70034.
BACKGROUND
The aim of this study is to assess the impact of obesity on the perioperative outcomes in robotic pancreaticoduodenectomy (RPD), rarely documented.
METHODS
A total of 886 patients undergoing RPD or open pancreaticoduodenectomy (OPD) were enroled. These patients were categorised into the obese RPD, non-obese RPD and obese OPD groups.
RESULTS
Operation time was longer in obese RPD compared with non-obese RPD and obese OPD (median: 9.5 vs. 7.5 and 8.0 h). Blood loss was lower in both RPD groups than in the obese OPD group (median: 200 and 120 vs. 500 c.c.). Surgical mortality and morbidity were comparable between these three groups. Delayed gastric emptying (DGE) occurred less frequently in both RPD groups than obese OPD (7.5% and 4.4% vs. 19.1%).
CONCLUSIONS
Obesity does not exert a negative impact on the perioperative outcomes in RPD, except for longer operation times. RPD has emerged as a safe and viable surgical approach for obese patients.
背景
本研究旨在评估肥胖对机器人胰十二指肠切除术（RPD）围手术期结局的影响，相关报道较少。
方法
共纳入886例行RPD或开放胰十二指肠切除术（OPD）的患者。这些患者被分为肥胖RPD组、非肥胖RPD组和肥胖OPD组。
结果
肥胖RPD组的手术时间比非肥胖RPD组和肥胖OPD组长（中位数：9.5小时对7.5小时和8.0小时）。两个RPD组的失血量均低于肥胖OPD组（中位数：200毫升和120毫升对500毫升）。这三组的手术死亡率和发病率相当。两个RPD组的胃排空延迟（DGE）发生率均低于肥胖OPD组（7.5%和4.4%对19.1%）。
结论
除手术时间较长外，肥胖对RPD的围手术期结局无负面影响。RPD已成为肥胖患者一种安全可行的手术方法。
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