达芬奇机器人手术辅助系统治疗胸腺疾病的疗效分析

发布时间：2018-02-01 21:51

本文关键词： 胸腺重症肌无力胸腔镜达芬奇机器人　出处：《医学研究生学报》2017年06期 　论文类型：期刊论文

【摘要】：目的胸腔镜在微创治疗方面虽具有独特优势,但要完整切除胸腺仍存在一些困难,机器人辅助胸腔镜手术弥补了胸腔镜的不足。文中旨在总结分析达芬奇机器人手术和胸腔镜手术治疗胸腺疾病的临床效果差异。方法回顾性分析南京军区南京总医院胸外科2013年6月至2015年6月采用达芬奇机器人手术系统实施了胸腺切除手术的65例胸腺病变患者(机器人组);以及同期收治的51例采用胸腔镜手术的胸腺病变患者(胸腔镜组)的临床资料。对比2组手术时间、拔胸管时间、术中出血量、术后24 h引流量等。结果机器人组拔胸管时间、术后SICU天数、术后住院天数较胸腔镜组明显缩短[(2.54±0.32)d vs(2.87±0.49)d,(0.75±0.04)d vs(0.81±0.06)d、(5.17±0.15)d vs(5.50±0.23)d,P0.05],机器人组术中出血量(mL)、术后24 h引流量(cm)明显优于胸腔镜组[(125.7±7.5)mL vs(136.6±8.2)mL、(117.38±11.45)mL vs(122.41±13.14)mL,P0.05]。结论达芬奇机器人手术治疗胸腺病变具有创伤小,恢复快等优势,在一定程度上弥补了胸腔镜技术的不足。
[Abstract]:Objective although thoracoscopy has unique advantages in minimally invasive treatment, there are still some difficulties in complete thymectomy. The purpose of this paper is to summarize and analyze the difference of clinical effect between da Vinci robot operation and thoracoscopic surgery in the treatment of thymic diseases. Methods the general situation of Nanjing military region was analyzed retrospectively. From June 2013 to June 2015, 65 patients with thymic lesions underwent thymectomy with Leonardo da Vinci robotic surgical system from June 2013 to June 2015. Robot group; The clinical data of 51 cases of thymic lesions treated by thoracoscopic surgery (thoracoscopic group) were compared between the two groups. Results the time of chest tube pulling, the days of postoperative SICU and the days of hospitalization after operation in the robot group were significantly shorter than those in the thoracoscopic group. [2. 54 卤0. 32 vs(2.87 卤0. 49 vs(0.81 卤0. 06? d; 0. 75 卤0. 04? d? vs(0.81 卤0. 06??? 5. 17 卤0. 15 d vs(5.50 卤0. 23 d (P0.05). The amount of blood loss in the robot group was significantly better than that in the thoracoscopic group. [125.7 卤7.5 mL vs(136.6 卤8.2 mL of vs(136.6 117.38 卤11.45 mL vs(122.41 卤13.14 mL. Conclusion da Vinci robot surgery for thymic lesions has the advantages of small trauma, quick recovery and so on, which to some extent make up for the shortcomings of thoracoscopic technique.
【作者单位】：南京大学医学院附属金陵医院(南京军区南京总医院)心胸外科;
【基金】：南京军区南京总医院科研基金(2014033)
【分类号】：R655.7
【正文快照】： 0引言胸腺疾病多采用胸腺切除术的治疗方式,胸腺切除术术式多种多样,传统正中胸骨切开术的术式虽具有良好的手术视野,但创伤大,出血量大,术后并发症多,特别是合并重症肌无力,而且需要激素治疗的患者,会严重影响呼吸系统及胸骨愈合[1-2]。近几年,微创技术已经被越来越多地用于

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