中国的机器人外科学杂志 | ISSN 2096-7721 | CN 10-1650/R

免打结双倒刺线手工缝合法在机器人辅助全胃切除术中的应用及疗效分析(附手术视频)

Application and efficacy of double knotless barbed hand-suture method in robot-assisted total gastrectomy(with surgical video)

作者:代洪智,赵银泉,孙璇,何亮,王权

Vol. 5 No. 5 Oct. 2024 DOI: 10.12180/j.issn.2096-7721.2024.05.023 发布日期:2024-11-27
关键词:机器人辅助手术;全胃切除术;免打结;手工缝合

作者简介:

目的:探讨免打结双倒刺线手工缝合法在机器人辅助根治性全胃切除术后的近期临床疗效。方法:回 顾性分析 2020 年 10 月—2023 年 7 月吉林大学第一医院普通外科中心胃结直肠外科行机器人辅助根治性全胃切除术 的 42 例胃体或贲门癌患者的临床病理资料,主要包括手术时间、吻合时间、术中出血量、术后住院时间、术后并 发症及随访情况。结果:手术时间(290±37)min,吻合时间(23±3)min,术中出血量 20(20,100)mL,术后住 院时间(8±1)d,术后并发症发生率为 33.3%(14/42)。42 例患者失访 2 例,其余 40 例患者随访时间 1~34 个月, 中位随访时间为 19 个月。结论:患者行机器人辅助根治性全胃切除术后,采用免打结双倒刺线手工缝合食管空肠 法重建消化道,不会增加并发症,且术后近期吻合口瘘和吻合口狭窄发生率较低。

Objective: To investigate the short-term clinical efficacy of double knotless barbed hand-suture after robotassisted total gastrectomy. Methods: Clinicopathological data of 42 patients who underwent total gastrectomy for gastric body or cardia cancer in the Department of Gastro-colorectal Surgery, General Surgery Center, the First Hospital of Jilin University from October 2020 to July 2023 was retrospectively analyzed. Operative time, anastomosis time, intraoperative blood loss, length of hospital stay, postoperative complications and follow-up were mainly observed and analyzed. Results: The operative time was (290±37) min, with the anastomosis time of (23±3) min, intraoperative blood loss of 20 (20, 100) mL, postoperative length of hospital stay of (8±1)d and the postoperative complication rate of 33.3% (14/42). There were 2 patients lost to follow-up among the 42 patients, 40 patients were followed up 1-34 months, with the median follow-up time of 19 months. Conclusion: After robot-assisted total gastrectomy, reconstruction of gastrointestinal tract using double knotless barbed handsuture method does not increase complications, and the incidence rate of anastomotic fistula and anastomotic stenosis is lower in the short term after surgery.

稿件信息

收稿日期:2024-01-19  录用日期:2024-06-06 

Received Date: 2024-01-19  Accepted Date: 2024-06-06 

基金项目:吉林省科技发展计划项目(YDZJ202402012CXJD) 

Foundation Item: Science and Technology Development Plan Project of Jilin Province(YDZJ202402012CXJD) 

通讯作者:何亮,Email:he_liang@jlu.edu.cn;王权,Email:wquan@jlu.edu.cn 

Corresponding Author: HE Liang, Email: he_liang@jlu.edu.cn; WANG Quan, Email: wquan@jlu.edu.cn 

引用格式:代洪智,赵银泉,孙璇,等 . 免打结双倒刺线手工缝合法在机器人辅助全胃切除术中的应用及疗效分析(附手术视频)[J]. 机器人外科学杂志(中英文),2024,5(5):887-891. 

Citation: DAI H Z, ZHAO Y Q, SUN X, et al. Application and efficacy of double knotless barbed hand-suture method in robotassisted total gastrectomy(with surgical video)[J]. Chinese Journal of Robotic Surgery, 2024, 5(5): 887-891.

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