结直肠癌肝转移, 腹腔镜肝切除术, 达芬奇机器人手术

Objective To compare the safety and efficacy of robotic and laparoscopic hepatectomy in the treatment of colorectal metastatic liver cancer. Methods Data of patients with colorectal metastatic liver cancer who underwent Da Vinci robotic hepatectomy from Apr. 2019 to Jun. 2020 in Drum Tower Hospital were retrospectively analyzed, including 25 cases of robot assisted hepatectomy (robot group) and 28 cases of laparoscopic hepatectomy (laparoscopic group). The following information were compared between two groups,including postoperative hospitalization time, anal exhaust time, defecation time, postoperative feeding time, ambulation time, liver function 24 hours after operation and postoperative complications. Results In terms of operation, the operation time [(155.4±40.2)min vs (184.5±56.8)min], intraoperative bleeding [(205.5±124.8)mL vs (352.8±206.6)mL], blood transfusion cases (1 vs 8) and conversion to laparotomy cases (1 vs 9) in robot group were better than those in the laparoscopic group (P<0.05). In terms of postoperative recovery, postoperative hospitalization time [(4.5±1.3)d vs (6.3±2.2)d], anal exhaust time [(22.4±8.5)h vs (30.8±10.1)h] and postoperative feeding time [(1.1±0.9)d vs (1.8±1.2)d] in robot group were significantly less than those in laparoscopic group (P<0.05). However, there was no significant difference in liver function 24 hours after operation between the two groups (P>0.05). In terms of postoperative complications, although there was no significant difference between the two groups, the incidence of complications in the robot group was less than that in the laparoscopic group.Conclusion Robot assisted hepatectomy has the advantages of shorter operation time, lower conversion rate to laparotomy, which improves the postoperative recovery for patients with colorectal metastatic liver cancer.

colorectal metastatic liver cancer, laparoscopic hepatectomy, Da Vinci robotic surgery