Effect of Da Vinci robot assisted radical resection of rectal cancer

LIU Qingquan; XIAO Dalei

doi:10.7619/jcmp.20214788

Journal of Clinical Medicine in Practice > 2022 > 26(13): 50-54. > DOI: 10.7619/jcmp.20214788

LIU Qingquan, XIAO Dalei. Effect of Da Vinci robot assisted radical resection of rectal cancer[J]. Journal of Clinical Medicine in Practice, 2022, 26(13): 50-54. DOI: 10.7619/jcmp.20214788

Citation:

LIU Qingquan, XIAO Dalei. Effect of Da Vinci robot assisted radical resection of rectal cancer[J]. Journal of Clinical Medicine in Practice, 2022, 26(13): 50-54. DOI: 10.7619/jcmp.20214788

Citation:

LIU Qingquan, XIAO Dalei. Effect of Da Vinci robot assisted radical resection of rectal cancer[J]. Journal of Clinical Medicine in Practice, 2022, 26(13): 50-54. DOI: 10.7619/jcmp.20214788

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Effect of Da Vinci robot assisted radical resection of rectal cancer

the Second Department of General Surgery, Luohe City Central Hospital of Henan Province, Luohe, Henan, 462000

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Received Date: December 05, 2021
Available Online: July 01, 2022

Graphical Abstract

Abstract

Abstract

Objective
To compare the effect of Da Vinci robot assisted and laparoscopic assisted radical resection of rectal cancer.
Methods
The clinical data of 180 patients underwent Da Vinci robot assisted or laparoscopic assisted radical resection of rectal cancer were retrospectively analyzed. SPSS 22.0 software was used to perform 1 to 1 propensity score matching (PSM) for patients, and finally 51 cases with Da Vinci robot assisted radical resection of rectal cancer (Da Vinci robot group) and 51 cases with laparoscopic assisted radical resection of rectal cancer (laparoscopic group) were included in this study. The intraoperative and postoperative conditions were compared between the two groups, and the 2-year survival condition was analyzed in both groups.
Results
The operation time of the Da Vinci robot group was significantly longer than that of the laparoscopy group, while the intraoperative blood loss, the C reactive protein within 24 hours after operation and the score of the Numeric Rating Scale in the Da Vinci robot group were significantly lower than those in the time of removing urinary catheter after operation was shorter than the laparoscopic group (P < 0.05). The incidence rates of postoperative complications were 13.73% in the Da Vinci robot group and 15.69% in the laparoscopic group, and there was no significant difference between two groups (P>0.05). The median survival time of the Da Vinci robot group and the laparoscopic group were 21.9 and 21.7 months respectively, and there was no significant difference between two groups (χ²=0.495, P=0.482). The 2-year survival rate of the Da Vinci robot group was 82.35% (42/51), which showed no significant difference when compared to 76.47% (39/51) of the laparoscopic group (χ²=0.540, P=0.463).
Conclusion
Da Vinci robot assisted radical resection of rectal cancer can achieve the similar radical effect and long-term effect as laparoscopic assisted radical resection of rectal cancer, but the former is more conducive to reduce intraoperative blood loss, alleviate degrees of postoperative inflammation and pain, and promote the recovery of urinary function of patients.
- Da Vinci robot,
- laparoscope,
- propensity score matching,
- radical resection of rectal cancer,
- 2-year survival rate

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References (19)

References

[1]	吴军, 贾成功, 史传文. 腹腔镜与开放手术治疗结直肠癌的临床效果及预后分析[J]. 腹腔镜外科杂志, 2020, 25(11): 844-848. https://www.cnki.com.cn/Article/CJFDTOTAL-FQJW202011012.htm
[2]	刘文涵, 闫沛静, 胡东平, 等. 机器人与腹腔镜直肠癌全系膜切除术短期疗效对比分析[J]. 中国普外基础与临床杂志, 2019, 26(1): 31-37. https://www.cnki.com.cn/Article/CJFDTOTAL-ZPWL201901008.htm
[3]	董海燕, 窦磊, 庞晓燕, 等. 机器人手术与腹腔镜手术对外科医生影响的比较[J]. 机器人外科学杂志: 中英文, 2020, 1(3): 195-201. https://www.cnki.com.cn/Article/CJFDTOTAL-JQRW202003007.htm
[4]	中华医学会外科学分会腹腔镜与内镜外科学组, 中华医学会外科学分会结直肠外科学组, 中国医师协会外科医师分会结直肠外科医师委员会, 等. 腹腔镜结直肠癌根治术操作指南(2018版)[J]. 中华消化外科杂志, 2018, 17(9): 877-885. doi: 10.3760/cma.j.issn.1673-9752.2018.09.001
[5]	严广斌. NRS疼痛数字评价量表numerical rating scale[J]. 中华关节外科杂志: 电子版, 2014, 8(3): 410. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHGJ201403034.htm
[6]	徐舟舟, 朱晒红, 易波, 等. 达芬奇机器人手术系统与腹腔镜全直肠系膜切除术治疗低位直肠癌的疗效分析[J]. 中华消化外科杂志, 2020, 19(5): 537-543. doi: 10.3760/cma.j.cn115610-20200414-00257
[7]	许剑民, 常文举, 鉴谧. 达芬奇机器人直肠癌根治术的现状和发展[J]. 中华普外科手术学杂志: 电子版, 2020, 14(1): 9-12. doi: 10.3877/cma.j.issn.1674-3946.2020.01.003
[8]	金鑫, 时飞宇, 孙祺, 等. 达芬奇机器人、腹腔镜与开腹直肠癌根治术的近期疗效对比研究[J]. 结直肠肛门外科, 2019, 25(4): 406-411. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM201904011.htm
[9]	吴晶. 3D腹腔镜辅助直肠癌Dixon术治疗直肠癌的疗效研究[J]. 空军医学杂志, 2019, 35(6): 482-484, 487. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZY201906007.htm
[10]	卓凡, 李太原, 孙焕奎, 等. 倾向性评分匹配达芬奇机器人与腹腔镜直肠癌低位前切除术的近期疗效比较[J]. 实用医学杂志, 2019, 35(9): 1468-1472. doi: 10.3969/j.issn.1006-5725.2019.09.026
[11]	潘婷婷, 姚翠. 快速康复外科理念在达芬奇机器人结直肠癌根治术围术期护理中的应用[J]. 腹腔镜外科杂志, 2021, 26(6): 476-477. https://www.cnki.com.cn/Article/CJFDTOTAL-FQJW202106021.htm
[12]	王赫, 朱小龙, 刘志鹏, 等. 达芬奇机器人和腹腔镜应用于直肠癌根治术的临床疗效对比研究[J]. 中华普通外科杂志, 2020, 35(1): 4-7. doi: 10.3760/cma.j.issn.1007-631X.2020.01.002
[13]	张雅琦, 张弢, 宋子甲, 等. 倾向评分匹配分析机器人中低位直肠癌根治术的泌尿功能保护作用[J]. 外科理论与实践, 2020, 25(3): 245-251. https://www.cnki.com.cn/Article/CJFDTOTAL-WKLL202003020.htm
[14]	黄哲昆, 池畔, 黄颖. 低位直肠癌保留部分邓氏筋膜的机器人与腹腔镜全直肠系膜切除术近期疗效与泌尿和勃起功能对照研究[J]. 中华胃肠外科杂志, 2021, 24(4): 327-334. doi: 10.3760/cma.j.cn.441530-20200724-00444
[15]	汤建军, 法镇中, 吴杰, 等. 腹腔镜腹会阴联合切除治疗低位直肠癌手术难度的相关因素分析[J]. 实用临床医药杂志, 2018, 22(17): 50-52. doi: 10.7619/jcmp.201817014
[16]	周玉良, 李永翔. 机器人和腹腔镜全直肠系膜切除术保留盆腔自主神经对泌尿和性功能的影响[J]. 医药前沿, 2019, 9(19): 15-18. https://cdmd.cnki.com.cn/Article/CDMD-10366-1019175426.htm
[17]	叶善平, 时军, 刘东宁, 等. 基于倾向性评分匹配的机器人和腹腔镜直肠癌根治术的对比研究[J]. 中华外科杂志, 2019, 57(6): 447-451.
[18]	张冬生, 张川, 黄远健, 等. 基于倾向性评分匹配法的纳米碳示踪淋巴结在腹腔镜结直肠癌根治术中的应用效果分析[J]. 中华解剖与临床杂志, 2021, 26(1): 50-56. doi: 10.3760/cma.j.cn101202-20200316-00084
[19]	张珂诚, 卫勃, 郗洪庆, 等. 基于倾向性评分匹配的机器人和腹腔镜胃癌根治术的近期与远期疗效比较[J]. 中华外科杂志, 2018, 56(1): 47-51.

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Effect of Da Vinci robot assisted radical resection of rectal cancer