[1]兰远志 曾冬竹 张超 钱锋 甘露 陈华 雷晓 罗华星 余佩武＊＊.达芬奇机器人直肠癌根治术的学习曲线[J].中国微创外科杂志,2014,14(6):490-493.
　Lan Yuanzhi,Zeng Dongzhu,Zhang Chao,et al.Learning Curve of Da Vinci Robotassisted Laparoscopic Radical Resection for Rectal Carcinoma[J].Chinese Journal of Minimally Invasive Surgery,2014,14(6):490-493.
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达芬奇机器人直肠癌根治术的学习曲线()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年6期
页码:
490-493
栏目:
出版日期:
2014-06-20

文章信息/Info

Title:
Learning Curve of Da Vinci Robotassisted Laparoscopic Radical Resection for Rectal Carcinoma
作者:
兰远志 曾冬竹 张超 钱锋 甘露 陈华 雷晓 罗华星 余佩武＊＊
第三军医大学西南医院全军普通外科中心、微创胃肠外科中心，重庆400038
Author(s):
Lan Yuanzhi; Zeng Dongzhu;  Zhang Chao;  et al. Corresponding author:Yu Peiwu; Email：yupeiwu01@sina.com
Department of General Surgery and Center of Minimally Invasive Gastrointestinal Surgery, Southwest Hospital of Third Military Medical University, Chongqing 400038, China
关键词:
直肠癌; 达芬奇机器人手术系统; 学习曲线
Keywords:
Rectal cancer; Da Vinci robotic surgical system; Learning curve
分类号:
R735.3+7
文献标志码:
A
摘要:
目的探讨达芬奇机器人直肠癌根治术的学习曲线。方法回顾分析我院微创胃肠外科中心2010年3月~2012年5月完成的60例达芬奇机器人直肠癌根治术的临床资料，按手术先后顺序分成A、B、C 3组，每组20例，比较各组机器人安装时间、手术时间、出血量、淋巴结清扫数目、并发症、术后住院时间。结果A组机器人安装时间（66±6）min，显著长于B组（35±5）min和C组（32±4）min（q=27.365，P<0.05；q=30.013，P<0.05），B、C 2组无统计学差异（q=2.648，P>0.05）。3组手术时间无统计学差异（F=1.28,P=0.286）,总手术时间差异（F=8.82,P=0.000）主要由于机器人安装时间差异，机器人直肠癌根治术学习曲线为20例。3组出血量、淋巴结清扫数目、并发症、术后住院时间无显著性差异（P>005）。结论对于熟练掌握腹腔镜直肠癌根治术的外科医生，达芬奇机器人直肠癌根治术学习曲线约为20例。
Abstract:
ObjectiveTo investigate the learning curve of Da Vinci robotassisted laparoscopic radical resection for rectal carcinoma.MethodsThe clinical data of 60 cases of Da Vinci robotassisted laparoscopic radical resection for rectal cancer performed between March 2010 and May 2012 were reviewed．The patients were sequentially divided into group A，B and C with 20 cases in each group．The robotic setup time, operation time, blood loss，number of resected lymph nodes，surgical complications，and postoperative hospital stay were compared among the 3 groups．ResultsThe robotic setup time in group A was significantly longer than that in group B and C ［（66±6）min vs．(35±5) min,q=27.365,P<0.05;(66±6) min vs (32±4) min,q=30.013,P<005］,and there was no significant difference between group B and group C(q=2.648,P>0.05).There was no statistical difference in operation time among the three groups(F=1.28,P=0.286).There were significant differences in total operation time among the three groups(F=8.82,P=0.000),mainly due to the differences of robotic setup time.The learning curve of Da Vinci robotassisted laparoscopic radical resection for rectal cancer was 20 cases.No significant difference was found in blood loss，number of resected lymph nodes，surgical complications，and postoperative hospital stay among the 3 groups (P＞005)．ConclusionFor a welltrained surgeon in laparoscopic rectal cancer surgery, the learning curve of Da Vinci robotassisted laparoscopic radical resection for rectal cancer is about 20 cases.

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备注/Memo

备注/Memo:
＊基金项目：第三军医大学临床创新科研基金资助 ＊＊通讯作者，Email：yupeiwu01@sina.com
更新日期/Last Update: 2014-12-08