【摘要】：目的總結(jié)應(yīng)用機(jī)器人手術(shù)系統(tǒng)行肝膽胰手術(shù)的臨床經(jīng)驗(yàn)。方法回顧性分析中國(guó)人民解放軍總醫(yī)院肝膽胰腫瘤外科自2011年11月15日至2017年2月9日應(yīng)用機(jī)器人手術(shù)系統(tǒng)行肝膽胰手術(shù)1000例病人的臨床資料。結(jié)果 1000例病人中,中轉(zhuǎn)開腹率4.6%,圍手術(shù)期病死率0.3%,術(shù)后平均住院時(shí)間(9.7±7.9)d。其中肝臟手術(shù)260例,胰腺手術(shù)600例,膽道手術(shù)83例,其他手術(shù)57例。應(yīng)用機(jī)器人手術(shù)系統(tǒng)行胰十二指腸切除術(shù)、左或右半肝切除術(shù)、膽囊癌根治術(shù)、肝門膽管癌根治術(shù)、胰腺中段切除及胰體尾切除術(shù)等復(fù)雜肝膽胰手術(shù)占65.9%。結(jié)論機(jī)器人手術(shù)系統(tǒng)更適合于行復(fù)雜的肝膽胰切除和重建手術(shù)。不論開腹手術(shù)還是傳統(tǒng)腹腔鏡亦或機(jī)器人手術(shù),三種手術(shù)方式不會(huì)相互取代,而是相輔相成,協(xié)同發(fā)展,最終的目的是實(shí)現(xiàn)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 鹵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.
【作者單位】： 中國(guó)人民解放軍總醫(yī)院全軍肝膽外科研究所肝膽胰腫瘤外科;
【基金】：軍事醫(yī)學(xué)創(chuàng)新專項(xiàng)技術(shù)重點(diǎn)項(xiàng)目(No.13CXZ027) 中國(guó)博士后科學(xué)基金(No.2015M582853)
【分類號(hào)】：R657.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 秦新裕;;機(jī)器人手術(shù)系統(tǒng)在普通外科臨床應(yīng)用現(xiàn)狀[J];中國(guó)實(shí)用外科雜志;2016年11期

2 王曉穎;;機(jī)器人肝切除應(yīng)用價(jià)值與評(píng)價(jià)[J];中國(guó)實(shí)用外科雜志;2016年11期

3 彭承宏;施昱晟;吳志，

本文編號(hào)：2399836