CAJ | 학술논문

目的：探讨达芬奇机器人手术系统应用于直肠肿瘤手术的效果，总结手术经验。方法回顾性分析我院2012年1月－2014年7月行达芬奇机器人直肠手术151例的临床资料。结果150例手术顺利完成，1例中转开腹。其中前切除术106例，APR 手术39例，Hartmann 手术6例。平均手术时间分别为240 min，239 min 和260 min，术中平均失血量53 ml，清扫淋巴结数量平均13．2枚。术后排气时间1～7 d，平均3 d。术后肠梗阻3例，吻合口瘘2例，吻合口出血1例，均行保守治疗。1例因肠系膜血管出血时气腹机故障而中转开腹止血。无死亡病例。结论达芬奇机器人行直肠肿瘤手术安全、可靠、优势明显。
목적：탐토체분기궤기인수술계통응용우직장종류수술적효과，총결수술경험。방법회고성분석아원2012년1월－2014년7월행체분기궤기인직장수술151례적림상자료。결과150례수술순리완성，1례중전개복。기중전절제술106례，APR 수술39례，Hartmann 수술6례。평균수술시간분별위240 min，239 min 화260 min，술중평균실혈량53 ml，청소림파결수량평균13．2매。술후배기시간1～7 d，평균3 d。술후장경조3례，문합구루2례，문합구출혈1례，균행보수치료。1례인장계막혈관출혈시기복궤고장이중전개복지혈。무사망병례。결론체분기궤기인행직장종류수술안전、가고、우세명현。
Objective To investigate the effect of resection of rectal tumor with the da Vinci robotic surgical system and summarize surgical experience.Methods Clinical data of 151 cases of rectal tumor which received robotic radical resection from Jan.2012 to Jul.2014 were reviewed.Results All patients except one case were received radical resection successfully with robotic surgical system of da Vinci.There were 106 cases performed anterior resection,39 cases performed APR operation and 6 cases performed Hartmann operation.The average operational time was 240 min,239 min and 260 min.The mean blood loss during operation was 53 ml.The average number of lymph node dissected was 13.2.The average time for gastrointestinal function recovery was 3 d,ranged 1 to 7 d.3 cases of postoperative bowel obstruction, 2 cases of anastomotic leak and 1 case of anastomotic bleeding were cured by conservative therapy.Only one conversion for intraoperative mesenteric bleeding with pneumoperitoneum machine′s mechanical failure. Conclusion The resection of rectal cancer surgery with Da Vinci robotic is safe,reliable,and exclusive.