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Curative effect of Da Vinci robot assisted radical gastrectomy for gastric cancer

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Author:: No author available

Journal Title:: World Chinese Journal of Digestology

Issue:: 24

DOI:: 10.11569/wcjd.v26.i24.1455

Key Word:: 达芬奇;胃癌;根治

Abstract：目的研究达芬奇机器人在胃癌根治术中的使用价值.方法收集中国人民解放军兰州总医院普外科自2016-12/2017-04接受达芬奇机器人胃癌根治术的患者信息,以同期接受腹腔镜胃癌根治术患者信息做对照,将二组手术治疗效果、术后恢复情况、住院费用以及预后等信息行统计分析.结果相比于腹腔镜组,达芬奇组术中出血少(P＜0.05)、淋巴结清扫彻底(P＜0.05)、手术切缘更安全(P＜0.05),但手术时间会增加(P＜0.05);而在患者的术后恢复中,二组术后首次进食、消化道功能恢复所需时间以及手术并发症的发生率均未见明显差异(P＞0.05),而手术费用却会明显增加(P＜0.05);但接受达芬奇根治性全胃手术的患者术后住院日明显低于腹腔镜组(P＜0.05),而这种差异在根治性远侧胃切除术患者中却并未发现(P＞0.05);另外,二组患者术后的远期生存情况并未明显的差异(P＞0.05).结论达芬奇机器人在外科手术中的使用确实存在一定优势,但仍需要术者不断提升自身技能并慎重对待.

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