全机器人胸腔肿物切除术的临床应用

Application of Da Vinci S surgical system in resection of thoracic cavity tumor

  • 摘要: 目的 探讨Da Vinci S手术操作系统在胸外科手术中的应用及优缺点。 方法 2011年9-10月,我院胸外科应用DaVinci S手术操作系统行胸腔肿物切除术4例。总结分析术中及术后的各项指标。 结果 4例患者均获成功,无一例中转开胸,术后病理为胸腺瘤(AB型)1例、胸腺囊肿1例、脂肪瘤样增生1例、神经鞘瘤1例。平均手术时间120min,术中平均出血量55ml,术后活动时间平均2.5d,胸腔闭式引流管拔除时间平均2.75d,平均住院日为9.25d。术后随访1例疼痛时间较长,无复发转移,无并发症。 结论 Da Vinci S手术操作系统行胸腔肿物切除术安全可靠,手术视野的暴露及操作的灵活性均优于常规手术及胸腔镜手术,且手术效果与常规手术及胸腔镜手术相当。但存在触觉反馈消失等缺陷,以及昂贵的价格使其难于普及推广。

     

    Abstract: Objective To study the application of Da Vinci S surgical system in resection of thoracic cavity tumor and its advantages and disadvantages. Methods Different indications of 4 patients with thoracic cavity tumor after resection using the Da Vinci S surgical system in our department from September 2011 to October 2011 were summarized. Results The operation was successful in all patients with no transfer to open chest operation.Of the 4 patients,1 was diagnosed with thymoma,1 with cyst of thymus,1 with lipoma-like proliferation,1 with neurinoma.The average operation time was 120min,the intra-operative blood loss was 55ml,the average time of postoperative activity was 2.5 days,the average time of removing the thoracic drainage tube was 2.75 days,the average hospital stay time was 9.25 days.One patient was followed up for a long time due to pain,during which no relapse and complication occurred. Conclusion Da Vinci surgical system is safe and reliable for resection of thoracic cavity tumor and advantageous over routine and open thoracoscopic surgery due to its wide invasion field.However,proper selection of patients,rich experience is very important to make sure of the safety of the patient.

     

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