应用机器人手术系统行肝胆胰手术单中心1000例报告

发布时间：2019-01-03 20:26

【摘要】：目的总结应用机器人手术系统行肝胆胰手术的临床经验。方法回顾性分析中国人民解放军总医院肝胆胰肿瘤外科自2011年11月15日至2017年2月9日应用机器人手术系统行肝胆胰手术1000例病人的临床资料。结果 1000例病人中,中转开腹率4.6%,围手术期病死率0.3%,术后平均住院时间(9.7±7.9)d。其中肝脏手术260例,胰腺手术600例,胆道手术83例,其他手术57例。应用机器人手术系统行胰十二指肠切除术、左或右半肝切除术、胆囊癌根治术、肝门胆管癌根治术、胰腺中段切除及胰体尾切除术等复杂肝胆胰手术占65.9%。结论机器人手术系统更适合于行复杂的肝胆胰切除和重建手术。不论开腹手术还是传统腹腔镜亦或机器人手术,三种手术方式不会相互取代,而是相辅相成,协同发展,最终的目的是实现病人利益的最大化。
[Abstract]:Objective to summarize the clinical experience of hepatobiliary and pancreatic surgery with robot operation system. Methods from November 15, 2011 to February 9, 2017, the clinical data of 1000 patients undergoing hepatobiliary and pancreatic surgery in the Department of Hepatobiliary and Pancreatic Neoplasms in the General Hospital of Chinese people's Liberation Army were analyzed retrospectively. Results among the 1000 patients, the conversion rate was 4.6%, the perioperative mortality was 0.3 and the average postoperative hospitalization time was (9.7 卤7.9) days. There were 260 cases of liver operation, 600 cases of pancreas operation, 83 cases of biliary tract operation and 57 cases of other operation. The complicated hepatobiliary and pancreatic operations were performed with robot system, such as pancreaticoduodenectomy, left or right hemihepatectomy, radical cholecystectomy, hilar cholangiocarcinoma radical resection, middle pancreatectomy and pancreatectomy. Conclusion robotic surgery system is more suitable for complicated hepatobiliary and pancreatic resection and reconstruction. Regardless of laparotomy, traditional laparoscopy or robotic surgery, the three kinds of surgical methods do not replace each other, but complement each other and develop in cooperation. The ultimate goal is to maximize the interests of patients.
【作者单位】：中国人民解放军总医院全军肝胆外科研究所肝胆胰肿瘤外科;
【基金】：军事医学创新专项技术重点项目(No.13CXZ027) 中国博士后科学基金(No.2015M582853)
【分类号】：R657.4

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