CAJ | 학술논문

目的：总结应用达芬奇机器人手术系统行胃癌根治术的经验，评价其手术效果及应用价值。方法：回顾性分析我科2011年11月至2014年11月手术治疗的250例胃癌患者的临床、病理资料。其中机器人手术126例，腹腔镜手术124例，比较两组患者手术情况及短期疗效。结果：与腹腔镜组相比，机器人组患者术中失血量少、淋巴结清扫数目多、手术时间长，比较差异有统计学意义(P<0.05)；术后胃肠道功能恢复时间、术后住院时间及并发症发生率，比较差异无统计学意义(P>0.05)。中位随访17.2(3~30)个月，机器人组复发转移10例，死亡3例；腹腔镜组复发转移12例，死亡2例。结论：达芬奇机器人手术可在微创条件下实现胃癌的标准D2根治术，手术操作安全，临床效果确实。
목적：총결응용체분기궤기인수술계통행위암근치술적경험，평개기수술효과급응용개치。방법：회고성분석아과2011년11월지2014년11월수술치료적250례위암환자적림상、병리자료。기중궤기인수술126례，복강경수술124례，비교량조환자수술정황급단기료효。결과：여복강경조상비，궤기인조환자술중실혈량소、림파결청소수목다、수술시간장，비교차이유통계학의의(P<0.05)；술후위장도공능회복시간、술후주원시간급병발증발생솔，비교차이무통계학의의(P>0.05)。중위수방17.2(3~30)개월，궤기인조복발전이10례，사망3례；복강경조복발전이12례，사망2례。결론：체분기궤기인수술가재미창조건하실현위암적표준D2근치술，수술조작안전，림상효과학실。
Objective: To summarize the experience of radical gastrectomy operation of Da Vinci system, evaluate its effect and application value.Methods:The clinical and pathological data of 250 patients with gastric cancer in our department from Nov 2011 to Nov 2014 were retrospectively analyzed. A total of 126 patients who experienced robotic gastric cancer and 124 patients who underwent Laparoscopic gastric cancer enrolled in this study. hTe operative data and short-term postoperative outcomes were compared between the groups.Results: Compared with the laparoscopic group, the robotic group had less intraoperative blood loss, larger numbers of retrieved lymph nodes and longer operation time, and the differences were statistically signiifcant (P<0.05). hTere were no signiifcant differences in gastrointestinal function recovery time, postoperative hospital stay, and complications between the groups (P>0.05). During a mean follow-up period of 17.2 (range, 3-30) months, 10 patients experienced relapse and metastasis, 3 patients died of the disease in robotic group, while 12 patients experienced relapse and metastasis, 2 patients died of the disease in laparoscopic group.Conclusion: With da Vinci roboticsystem, the standard D2 gastric cancer radical surgery can be accomplished successfully. It is feasible and safe, and the clinical effect is reliable.