第4代达芬奇机器人手术系统辅助腹腔镜肝包虫外囊完整剥除术的临床疗效

Clinical efficacy of da Vinci Xi surgical system assisted laparoscopic exocytosis for hepatic echinococcosis

    摘要
  • 摘要:
    目的 探讨第4代达芬奇机器人手术系统辅助腹腔镜肝包虫外囊完整剥除术的临床疗效。
    方法 采用回顾性描述性研究方法。收集2019年10月至2021年7月新疆维吾尔自治区人民医院收治的7例行第4代达芬奇机器人手术系统辅助腹腔镜肝包虫外囊完整剥除术患者的临床病理资料；男3例,女4例；年龄为（43±12）岁。观察指标：（1）手术情况。（2）并发症情况。（3）随访情况。正态分布的计量资料以x±s表示；偏态分布的计量资料以M（范围）表示。计数资料以绝对数表示。
    结果 （1）手术情况。7例患者均成功施行第4代达芬奇机器人手术系统辅助腹腔镜肝包虫外囊完整剥除术,无中转开腹及行腹腔镜手术患者。7例患者术中无输血。7例患者手术时间为（225±45）min,术中出血量为100（50~200）mL,术后首次肛门排气时间为（1.9±0.7）d,术后首次进食流质食物时间为（4.2±1.2）d,术后腹腔引流管留置时间为（7±4）d,术后导尿管留置时间为（2.9±0.8）d,术后住院时间为（7±4）d。（2）并发症情况。7例患者术后均未出现胆漏、腹腔出血、切口感染、包虫残腔感染、二次手术、肠梗阻、肺部感染及下肢深静脉血栓等并发症。（3）随访情况。7例患者均完成随访,随访期间为7（3~12）个月,所有患者未见包虫病复发、腹腔种植及切口种植。7例患者均生存。
    结论 第4代达芬奇机器人手术系统辅助腹腔镜肝包虫外囊完整剥除术安全、可行

     

    Abstract:
    Objective To investigate the clinical efficacy of da Vinci Xi surgical system assisted laparoscopic exocytosis for hepatic echinococcosis.
    Methods The retrospective and descriptive study was conducted. The clinicopathological data of 7 patients who underwent da Vinci Xi surgical system assisted laparoscopic exocytosis for hepatic echinococcosis in Xinjiang Uiger Municipal People′s Hospital from October 2019 to July 2021 were collected. There were 3 males and 4 females, aged (43±12)years. Observation indicators: (1) surgical situations; (2) complications; (3) follow‑up. Mea-surement data with normal distribution were represented as Mean±SD, and measurement data with skewed distribution were represented as M(range). Count data were described as absolute numbers.
    Results (1) Surgical situations. All 7 patients underwent da Vinci Xi surgical system assisted laparoscopic exocytosis for hepatic echinococcosis successfully, without conversion to laparotomy and laparoscopic surgery. None of the 7 patients underwent intraoperative blood transfusion and the operation time, volume of intraoperative blood loss, time to postoperative first and flatus, time to postoperative initial liquid food intake, time to postoperative abdominal drainage tube removal, time to postoperative urethral catheter removal, duration of postoperative hospital stay of 7 patients was (225±45)minutes, 100(range, 50-200)mL, (1.9±0.7)days, (4.2±1.2)days, (7±4)days, (2.9±0.8)days, (7±4)days, respectively. (2) Complications. None of the 7 patients had postoperative complications such as bile leakage, abdominal hemorrhage, incision infection, hydatid cavity infection, secondary operation, intestinal obstruction, pulmonary infection and deep venous thrombosis of lower limbs. (3) Follow‑up. All 7 patients were followed up for 7 (range, 3‑12) months. None of the 7 patients had recurrence of hepatic echinococcosis or peritoneal implantation and incision implantation, and all patients survived during follow‑up.
    Conclusion da Vinci Xi surgical system assisted laparoscopic exocytosis for hepatic echinococcosis is safe and feasible.

     

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