目的：探讨完全机器人远端胃切除术（TRDG）对临床Ⅰ~Ⅲ期胃癌患者短期疗效和生活质量的影响。方法：选取 2020 年 1 月—2023 年 12 月在西安交通大学第一附属医院诊治的临床Ⅰ~Ⅲ期胃癌患者 98 例纳入研究，其中 51 例行完全腹腔镜远端 胃切除术（TLDG）的患者为 TLDG 组，47 例行 TRDG 的患者为 TRDG 组，比较两组短期疗效、生活质量及并发症发生情况。 结果：与 TLDG 组相比，TRDG 组术中出血量、胃管引流量、住院费用更少，首次经肛门排气时间、首次摄入流食时间、住 院时间更短（P<0.05）。治疗后 4 个月 TRDG 组胃癌患者生活质量问卷（EORTC QLQ-STO22）各维度评分及总分低于治疗前， 且除掉头发和饮食受限外，TRDG 组 EORTC QLQ-STO22 各项评分及总分低于 TLDG 组（P<0.05）。两组患者术后并发症总 发生率比较，无统计学意义（P>0.05）。结论：与 TLDG 相比，TRDG 治疗临床Ⅰ~Ⅲ期胃癌患者的首次经肛门排气时间、首 次摄入流食时间、住院时间更短，生活质量更高，但二者在减少并发症方面效果相当。

Objective: To investigate the impact of totally robotic distal gastrectomy (TRDG) on short-term outcomes and quality of life (QoL) in patients with clinical stage Ⅰ~Ⅲ gastric cancer. Methods: 98 patients with clinical stage Ⅰ~Ⅲ gastric cancer who were treated at the First Affiliated Hospital of Xi’an Jiaotong University from January 2020 to December 2023 were enrolled. They were divided into the TLDG group (n=51)and the TRDG group (n=47). The TLDG group underwent totally laparoscopic distal gastrectomy (TLDG), while the TRDG group underwent TRDG. Short-term outcomes, QoL, and postoperative complications were compared between the two groups of patients. Results: Compared to the TLDG group, the TRDG group had significantly less intraoperative blood loss, reduced gastric tube drainage volume, lower hospitalization costs, shorter time to first flatus, earlier first liquid intake, and shorter length of hospital stay (P<0.05). After 4 months of treatment, the TRDG group showed significantly lower scores in all European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Stomach 22 (EORTC QLQ-STO22) domains, including total scores, compared to the pre-treatment period. These scores in the TRDG group were also lower than those in the TLDG group, except for hair loss and dietary restrictions (P<0.05). There was no significant difference in total postoperative complication rates between the two groups (P>0.05). ‌Conclusion: Application of TRDG in patients with clinical stage Ⅰ~Ⅲ gastric cancer results in shorter recovery times (first flatus, liquid intake, and hospitalization) and improved QoL compared to TLDG, though both techniques showed comparable efficacy in reducing complications.

基金项目：陕西省重点研发计划项目（2022SF-080） 

Foundation Item: Key R&D Plan Project of Shaanxi Province (2022SF-080) 

引用格式：姚岚，郭菲，宋莉，等 . 完全机器人远端胃切除术治疗胃癌的临床效果研究（附手术视频）[J]. 机器人外科学杂志（中英文）， 2025，6（5）：797-801. 

Citation: YAO L, GUO F, SONG L, et al. Clinical efficacy of totally robotic distal gastrectomy for gastric cancer (with surgical video)[J].  Chinese Journal of Robotic Surgery, 2025, 6(5): 797-801. 

通讯作者（Corresponding Author）：陈玉乐（CHEN Yule），Email：cylxdwyd@126.com

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