机器人辅助腹腔镜肝切除术142例报告

发布时间：2018-01-23 21:36

  本文关键词： 机器人手术系统 腹腔镜 肝切除术 肝肿瘤　出处：《中国实用外科杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的评估机器人辅助腹腔镜肝切除术的临床疗效。方法回顾性分析复旦大学附属中山医院2010年3月至2016年12月行机器人辅助腹腔镜肝切除术的142例病人的临床资料。结果原发性肝癌62例,结直肠癌肝转移55例,肝门部胆管癌1例,肝良性病变23例,活体肝移植供体1例。≥3个肝段的大范围肝切除占36.6%,3个肝段的部分肝切除占63.4%。无中转开腹手术。出血量(119.0±121.8)mL,输血率1.4%。R0切除率100%,围手术期并发症发生率(GradeⅢ)2.8%,病死率为0。术后住院(5.5±2.2)d。原发性肝癌病人术后1、3、5年总体存活率为97.8%、90.8%、76.2%,结直肠癌肝转移病人术后1、2年总体存活率为97.8%、97.8%。结论对于适宜病例,机器人辅助腹腔镜肝切除治疗肝肿瘤安全可靠,近期及远期疗效良好。
[Abstract]:Objective to evaluate the clinical effect of robot-assisted laparoscopic hepatectomy. Methods retrospective analysis of the clinical efficacy of robot-assisted laparoscopic hepatectomy in Zhongshan Hospital affiliated to Fudan University from March 2010 to December 2016. Results there were 62 cases of primary liver cancer. There were 55 cases of liver metastasis, 1 case of hilar cholangiocarcinoma, 23 cases of benign hepatic lesion and 1 case of living donor liver transplantation. 36.6% cases were resected by large scale liver resection with more than 3 segments of liver. Partial hepatectomy accounted for 63.4% of the three segments. There was no conversion to open surgery. The volume of blood loss was 119.0 卤121.8 mL.The blood transfusion rate was 1.4%. The resection rate of R0 was 100%. The incidence of perioperative complications was Grade 鈪，

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