Clinical efficacy observation of da Vinci® robot-assisted total colectomy
[Objectives] To observe the clinical efficacy of da Vinci® robot-assisted total colectomy. [Methods] A retrospective analysis was conducted on the clinical data of 32 patients (slow transit constipation, familial adenomatous polyposis, and multiple primary colon cancers) who underwent total colectom...
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| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2024-06-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=270&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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| _version_ | 1850274933330935808 |
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| author | Zou Min Meng Junjun Wang Zhenning Gao Feng |
| author_facet | Zou Min Meng Junjun Wang Zhenning Gao Feng |
| author_sort | Zou Min |
| collection | DOAJ |
| description | [Objectives] To observe the clinical efficacy of da Vinci® robot-assisted total colectomy. [Methods] A retrospective analysis was conducted on the clinical data of 32 patients (slow transit constipation, familial adenomatous polyposis, and multiple primary colon cancers) who underwent total colectomy in the department of colorectal & anal surgery, The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army from December 2017 to February 2024. The patients were grouped according to the surgical platform, with 12 cases in the robotic group (undergoing robot-assisted total colectomy) and 20 cases in the laparoscopic group (undergoing laparoscopic-assisted total colectomy). The general conditions (sex, age, BMI, combined underlying diseases, preoperative diagnosis, preoperative albumin, preoperative hemoglobin), intraoperative conditions (operation time, intraoperative blood loss, conversion to open surgery, etc.) and postoperative conditions (time of first oral intake, time of first postoperative exhaust, total hospital stay, total hospitalization cost, and postoperative complications) were compared between the two groups. [Results] There was no significant difference between the two groups in sex, age, BMI, combined underlying diseases, preoperative albumin and preoperative hemoglobin (P>0.05), but there was significant difference in the proportion of preoperative diagnosis between the two groups (P<0.05). There were no statistically significant differences in the proportion of patients converted to open surgery, operation time, intraoperative blood loss, time of first oral intake, time of first postoperative exhaust, total hospital stay, and postoperative complications between the two groups (P>0.05). The total hospitalization cost in the robotic group was higher than that in the laparoscopic group (P<0.05). [Conclusion] Compared with laparoscopic-assisted total colectomy, robot-assisted total colectomy did not increase intraoperative blood loss, the proportion of patients converted to open surgery, or prolong the time of first oral intake, time of first postoperative exhaust, and total hospital stay, suggesting that robot-assisted total colectomy is safe and feasible. |
| format | Article |
| id | doaj-art-9124daf620c9480c8d77d6612b11dca2 |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2024-06-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-9124daf620c9480c8d77d6612b11dca22025-08-20T01:50:59ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-06-0130328729110.19668/j.cnki.issn1674-0491.2024.03.008Clinical efficacy observation of da Vinci® robot-assisted total colectomyZou Min0Meng Junjun1Wang Zhenning2Gao Feng3Department of Colorectal & Anal Surgery, The 940 Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou 730050, Gansu, ChinaDepartment of Colorectal & Anal Surgery, The 940 Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou 730050, Gansu, ChinaDepartment of Colorectal & Anal Surgery, The 940 Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou 730050, Gansu, ChinaDepartment of Colorectal & Anal Surgery, The 940 Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou 730050, Gansu, China[Objectives] To observe the clinical efficacy of da Vinci® robot-assisted total colectomy. [Methods] A retrospective analysis was conducted on the clinical data of 32 patients (slow transit constipation, familial adenomatous polyposis, and multiple primary colon cancers) who underwent total colectomy in the department of colorectal & anal surgery, The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army from December 2017 to February 2024. The patients were grouped according to the surgical platform, with 12 cases in the robotic group (undergoing robot-assisted total colectomy) and 20 cases in the laparoscopic group (undergoing laparoscopic-assisted total colectomy). The general conditions (sex, age, BMI, combined underlying diseases, preoperative diagnosis, preoperative albumin, preoperative hemoglobin), intraoperative conditions (operation time, intraoperative blood loss, conversion to open surgery, etc.) and postoperative conditions (time of first oral intake, time of first postoperative exhaust, total hospital stay, total hospitalization cost, and postoperative complications) were compared between the two groups. [Results] There was no significant difference between the two groups in sex, age, BMI, combined underlying diseases, preoperative albumin and preoperative hemoglobin (P>0.05), but there was significant difference in the proportion of preoperative diagnosis between the two groups (P<0.05). There were no statistically significant differences in the proportion of patients converted to open surgery, operation time, intraoperative blood loss, time of first oral intake, time of first postoperative exhaust, total hospital stay, and postoperative complications between the two groups (P>0.05). The total hospitalization cost in the robotic group was higher than that in the laparoscopic group (P<0.05). [Conclusion] Compared with laparoscopic-assisted total colectomy, robot-assisted total colectomy did not increase intraoperative blood loss, the proportion of patients converted to open surgery, or prolong the time of first oral intake, time of first postoperative exhaust, and total hospital stay, suggesting that robot-assisted total colectomy is safe and feasible.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=270&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9Ftotal colectomyda vinci® surgical robotlaparoscopyfeasibilitysafety |
| spellingShingle | Zou Min Meng Junjun Wang Zhenning Gao Feng Clinical efficacy observation of da Vinci® robot-assisted total colectomy 结直肠肛门外科 total colectomy da vinci® surgical robot laparoscopy feasibility safety |
| title | Clinical efficacy observation of da Vinci® robot-assisted total colectomy |
| title_full | Clinical efficacy observation of da Vinci® robot-assisted total colectomy |
| title_fullStr | Clinical efficacy observation of da Vinci® robot-assisted total colectomy |
| title_full_unstemmed | Clinical efficacy observation of da Vinci® robot-assisted total colectomy |
| title_short | Clinical efficacy observation of da Vinci® robot-assisted total colectomy |
| title_sort | clinical efficacy observation of da vinci r robot assisted total colectomy |
| topic | total colectomy da vinci® surgical robot laparoscopy feasibility safety |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=270&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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