Contrast study of short-term effect between the da Vinci surgical robot and laparoscopic technology in right hemicolectomy for colon carcinoma
Abstract：Objective To compare the short-term surgical outcomes of robot-assisted right hemicolectomy (RA group) with laparoscopic-assisted right hemicolectomy (LA group) for colon carcinoma in order to evaluate the safety and feasibility of robotic surgery system. Methods The clinical data of 30 cases in RA group and 30 cases in LA group both admitted from December 2014 to May 2016 in Department of General Surgery, the First Affiliated Hospital of Nanchang University were analyzed retrospectively. Perioperative situation was compared between the two groups. Results The estimated blood loss was significantly lower in the RA group than that in the LA group[(87.3 ± 26.1)mL vs.(132.2 ± 31.6)mL,P<0.05]. The operating time in the RA group was significantly longer than that in the LA group[(152.3±12.4) min vs.(125.7 ± 29.0)min,P=0.012]. Compared with the LA group,the times to first flatus passage were significantly shorter in the RA group[(61.5 ± 9.4)h vs.(69.7 ± 10.5)h,P=0.042]. The 24 hour pain scores in the RA group were significantly less than those in the LA group. Overall hospital costs in the RA group were significantly higher than that in the LA group(￥52235.7±528.2 vs.￥41263.5±436.1,P=0.006). Compared with the LA group,the RA group had larger number of lymph node dissection(15.6±4.5 vs. 12.5±2.9,P=0.036). Conclusion Compared with laparoscopic-assisted right hemicolectomy,robotic surgery has less harm to the patients,with better resection of primary tumor,and more thorough dissection of lymph nodes. Thus,it is feasible and safe for colon carcinoma.
Keywords：robotic surgerycolon carcinomaright hemicolectomylaparoscopy
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1187-1189 )