Comparative study of short-term clinical outcome between Total Da Vinci robotic distal Gastrectomy and Da Vinci robotic-Assisted distal Gastrectomy for gastric cancer

doi:10.3877/cma.j.issn.1674-3946.2018.02.008

Abstract

Abstract:

Objective

To compare the short-term clinical outcome between total robotic distal gastrectomy (TRDG grop) and robot-assisted distal gastrectomy (RADG group) for distal gastric cancer, and to evaluate the safety and feasibility of total robotic surgery system.

Methods

From December 2014 to December 2016, clinical data of 60 cases in TRDG group and 100 cases in RADG group were analyzed retrospectively. Intraoperative indicators and postoperative outcome were compared between two groups.

Results

There were no significant differences in terms of anastomosis time and harvested lymph nodes between TRDG grop and RADG grop. However there were significant differences in terms of blood loss, incision length, flatus time and hospital stay between TRDG grop and RADG grop (P<0.05).

Conclusion

Compared with robot-assisted distal gastrectomy, total robotic distal gastrectomy surgery has advantages including less trauma, quicker postoperative recovery and satisfactory short-term outcome. Thus, it is feasible and safe for surgical treatment of distal gastric cancer.

Key words: Stomach Neoplasms, Robotics, Surgical Procedures, Minimally Invasive, Gastrectomy

Qiangqiang Xiong, Dongning Liu, Cheng Tang, Chuanlin Cao, Taiyuan Li. Comparative study of short-term clinical outcome between Total Da Vinci robotic distal Gastrectomy and Da Vinci robotic-Assisted distal Gastrectomy for gastric cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(02): 110-114.

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References 19

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组别	例数	年龄	性别(男/女)	BMI
全机器人组	60	57.6±12.3	32/28	21.4±1.7
机器人辅助组	100	58.3±12.7	57/43	21.1±2.0
P值	?	0.971	0.204	0.918
组别	例数	肿瘤分期
组别	例数	ⅠA	ⅠB	Ⅱ	ⅢA	ⅢB
全机器人组	60	10	12	12	15	11
机器人辅助组	100	17	29	18	25	11
P值	?	?	0.821		?	?

组别	例数	年龄	性别(男/女)	BMI
全机器人组	60	57.6±12.3	32/28	21.4±1.7
机器人辅助组	100	58.3±12.7	57/43	21.1±2.0
P值	?	0.971	0.204	0.918
组别	例数	肿瘤分期
组别	例数	ⅠA	ⅠB	Ⅱ	ⅢA	ⅢB
全机器人组	60	10	12	12	15	11
机器人辅助组	100	17	29	18	25	11
P值	?	?	0.821		?	?

相关指标	全机器人组	机器人辅助组	t值	P值
手术时间(min)	282.8±32.8	277.1±22.8	1.294	0.198
术中出血(ml)	38.0±18.5	85.6±35.8	－9.554	0.000
吻合时间(min)	74.5±10.2	73.4±8.3	0.743	0.458
近端切缘(cm)	6.06±1.24	6.01±1.03	0.275	0.784
远端切缘(cm)	6.32±1.21	6.05±0.98	1.543	0.125
淋巴结清扫数目(枚)	33.4±9.7	34.6±9.5	－0.767	0.440
肛门排气时间(d)	2.7±0.9	3.8±0.8	－3.834	0.000
下床活动时间(d)	1.2±0.9	3.3±1.3	－11.028	0.000
切口长度(cm)	3.3±1.2	6.8±2.5	－10.167	0.000
术后住院天数(d)	8.2±1.6	10.4±2.5	－6.104	0.000
吻合口漏(例)	?	1	－	1.000
吻合口狭窄(例)	?	1	－	1.000
胃瘫(例)	?	2	－	1.000

相关指标	全机器人组	机器人辅助组	t值	P值
手术时间(min)	282.8±32.8	277.1±22.8	1.294	0.198
术中出血(ml)	38.0±18.5	85.6±35.8	－9.554	0.000
吻合时间(min)	74.5±10.2	73.4±8.3	0.743	0.458
近端切缘(cm)	6.06±1.24	6.01±1.03	0.275	0.784
远端切缘(cm)	6.32±1.21	6.05±0.98	1.543	0.125
淋巴结清扫数目(枚)	33.4±9.7	34.6±9.5	－0.767	0.440
肛门排气时间(d)	2.7±0.9	3.8±0.8	－3.834	0.000
下床活动时间(d)	1.2±0.9	3.3±1.3	－11.028	0.000
切口长度(cm)	3.3±1.2	6.8±2.5	－10.167	0.000
术后住院天数(d)	8.2±1.6	10.4±2.5	－6.104	0.000
吻合口漏(例)	?	1	－	1.000
吻合口狭窄(例)	?	1	－	1.000
胃瘫(例)	?	2	－	1.000

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