机器人辅助左半结肠癌切除术：达芬奇SP系统与单孔平台的比较
Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of da Vinci SP and Single-Site Platforms.
作者信息
Kim Kyeong Eui, Jeong Woon Kyung, Baek Seong Kyu, Bae Sung Uk
机构信息
Department of Surgery, Armed Forced Yangju Hospital, Yangju, Korea.
Department of Surgery, School of Medicine, Keimyung University and Dongsan Medical Center, Daegu, Korea.
出版信息
Int J Med Robot. 2025 Jun;21(3):e70079. doi: 10.1002/rcs.70079.
BACKGROUND
To compare the clinicopathological and cosmetic outcomes of robotic colectomy using the da Vinci SP and Single-Site for left-sided colon cancer.
METHODS
The study included 31 and 52 patients who underwent robotic colectomy using the SP and Single-Site, respectively, between July 2011 and July 2023. The Patient Scar Assessment Questionnaire (PSAQ) was used to assess cosmetic outcomes.
RESULTS
Patients who underwent colectomy using the SP had a shorter wound length, less bleeding, and fewer port usages compared with those who underwent colectomy using the Single-Site. The SP group required fewer analgesics on post-operative day 2, showed a shorter time to flatulence, sip water and soft diet, and a shorter hospital stay. Total PSAQ scores for the SP group were superior to those of the Single-Site group.
CONCLUSIONS
Robotic colectomy for left-sided colon cancer using the SP presents better short-term recovery, requires fewer analgesics and has better cosmetic outcomes than Single-Site.
背景
比较使用达芬奇SP手术系统和单孔手术系统进行机器人辅助结肠切除术治疗左侧结肠癌的临床病理及美容效果。
方法
该研究纳入了2011年7月至2023年7月期间分别接受使用SP手术系统和单孔手术系统进行机器人辅助结肠切除术的31例和52例患者。采用患者瘢痕评估问卷（PSAQ）评估美容效果。
结果
与接受单孔手术系统结肠切除术的患者相比，接受SP手术系统结肠切除术的患者伤口长度更短、出血量更少、使用的端口更少。SP组在术后第2天需要的镇痛药更少，胃肠排气、饮水和恢复软食的时间更短，住院时间也更短。SP组的PSAQ总分优于单孔手术系统组。
结论
对于左侧结肠癌患者，使用SP手术系统进行机器人辅助结肠切除术比单孔手术系统具有更好的短期恢复效果，所需镇痛药更少，美容效果更好。
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