[Clinical exploratory application of robotic resection of tumor in segment Ⅷ: a report for 7 cases]

Zhonghua Yi Xue Za Zhi. 2017 Apr 25;97(16):1256-1258. doi: 10.3760/cma.j.issn.0376-2491.2017.16.016.
[Article in Chinese]

Abstract

Objective: To investigate the feasibility and security of robotic resection of tumor in segment Ⅷ primarily. Methods: The clinicopathologic data of 7 patients who underwent robotic resection of tumor in segment Ⅷ using daVinci robotic system in the Department of Hepato-pancreato-biliary Surgical Oncology, Chinese PLA General Hospital from June 2016 to December 2016 were retrospectively analyzed. The lesion size, the tumor malignance degree mean operation time, intraoperative blood loss and the rate of conversion to laparotomy, postoperative hospital stay, mobidity and motality of all the 7 patients were collected. Results: All the 7 operations were successfully performed with radical resection.The mean tumor diameter was (4.6±1.2)cm. The mean operation time, intraoperative blood loss and postoperative hospital stay were(120.7±21.7)min, (100±106.7)ml, and(7.3±1.8)days respectively.All the patients were discharged successfully with no severe complications. Conclusions: According to our experiences, as a new operationmodel of minimally invasive surgery, robotic resection of tumor in segment Ⅷ has manyadvantages in laparoscopic like less trauma, less intraoperative bleeding, light postoperative pain, shorter postoperative hospital stay and so on. There are some certain advantages in exposure of Ⅷ segment under robotic surgery system. Robotic surgery system is safe and feasible for tumorresection of segmentⅧ, andhas clinical promoting value and application prospect.

目的: 初步探究机器人肝脏Ⅷ段肿瘤切除术的可行性和安全性。 方法: 回顾性分析解放军总医院肝胆外二科2016年6至12月行机器人肝脏Ⅷ段肿瘤切除7例患者的临床病理资料。 结果: 7例患者均在机器人下顺利完成手术,其中2例为机器人肝脏Ⅴ、Ⅷ段切除,1例为机器人Ⅷ段良性肿瘤切除,其余4例为机器人肝脏Ⅷ段恶性肿瘤切除术,肿瘤直径为(4.6±1.2)cm。手术时间为(120.7±21.7)min,术中出血量为(100±106.7)ml,患者术后恢复顺利,无严重并发症发生,术后(7.3±1.8)d出院。 结论: 早期临床应用提示机器人下肝Ⅷ段显露具有一定优势,肿瘤局部或规则性切除均安全、可行。.

Keywords: Hepatectomy; Liver Neoplasms; Robotics; Surgical Procedures.

MeSH terms

  • Humans
  • Laparoscopy
  • Neoplasms / surgery*
  • Operative Time
  • Robotic Surgical Procedures*
  • Robotics