摘要
目的探讨达芬奇机器人手术系统在精准肝切除中应用的可行性、安全性及优势。方法回顾性分析2009年4月至7月解放军总医院应用达芬奇机器人手术系统对13例肝病患者行精准肝切除的临床资料进行。结果所有患者手术获成功，无中转开腹。其中广泛肝切除9例，左外叶切除4例。所有患者鞘内解剖选择性入肝血流阻断下的解剖性肝切除。平均手术时间为338min（150～720min），平均失血量为208ml（50～800m1），无术中、术后输血。术后仅1例患者出现胆汁漏，经保守治疗后痊愈，无围手术期死亡。术后平均住院时间为7d（2—13d）。结论达芬奇机器人手术系统行精准肝切除安全可行，它极大地拓展了腹腔铺肝切除的适廊证，尤其利于精准的肝门解剖和腹腔镜下缝合。
Objective To assess the feasibility, safety and advantages of robotic-assisted precise hepatectomy. Methods Between April and July 2009, 13 consecutive patients underwent robotic-assisted hepatectomy for hepatic diseases. The clinical data were analyzed retrospectively. Results All 13 Da Vinci surgical systemassisted precise hepatectomies were successfully performed without conversion to laparotomy. Major hepatectomies were performed in 9 patients, left lateral segmentectomies in 4 patients. All the Da Vinci surgical system-assisted hepatectomies were performed anatomically with hilum dissection. Prior to the parenchymal transaction, vascular control of the portal vessels was carried out whenever possible. The mean operative time was 338 minutes （ range, 150-720 minutes）. The mean blood loss was 208 ml （range, 50-800 ml）. No patient required blood transfusion, and no mortality, transient bile leakage was observed in patients with hilar cholangiocarcinoma. The mean post-operative stay was 7 days （range, 2-13 days）. Conclusions These preliminary results show that Da Vinci surgical system-assisted precise hepatectomy is safe and feasible with potential benefits of a minimally invasive approach. Da Vinci surgical system may broaden the indications for laparoscopic hepatactomy, and it enables surgeons to perform precise laparoscopic hepatectomy which required hilum dissection, hepatocaval dissection, endoscopic suturing and microanastamosis.
出处
《中华消化外科杂志》
CAS
CSCD
2010年第2期97-100,共4页
Chinese Journal of Digestive Surgery
基金
国家传染病防治科技重大专项（2008ZX10002-026）
卫生行业科研专项项目（200802012）
关键词
达芬奇机器人手术系统
外科手术
微创性
肝肿瘤
腹腔镜检查
精准肝切除
Da Vinci surgical system
Surgical procedures, minimally invasive
Liver neoplasms
Laparoscopy
Precise hepatectomy
