应用达芬奇机器人切除原发性腹膜后巨大肿瘤的临床研究

Da Vinci robot-assisted laparoscopic resection of primary huge retroperitoneal tumor

摘要:

探讨达芬奇机器人腹膜后巨大肿瘤切除术的安全性和疗效。方法 回顾性分析该院5例腹膜后巨大肿瘤行达芬奇机器人手术切除的临床资料，探讨手术技巧，分析并发症与疗效。结果 5例腹膜后巨大肿瘤患者均成功实施达芬奇机器人辅助肿瘤切除术，术后恢复良好，无严重并发症。随访6～33个月，4例无肿瘤复发；1例腹膜后淋巴瘤患者，残余瘤体经化疗后明显缩小。结论 达芬奇机器人能安全地完成复杂的腹膜后巨大肿瘤手术，术后并发症少，疗效满意。在熟练掌握机器人操作后，经腹和腹膜后途径均能很好完成手术。

Abstract:

To investigate the safety and clinical effect of Da Vinci robot-assisted laparoscopic resection of huge retroperitoneal tumor.?Methods?Clinical data of 5 cases of Da Vinci robot-assisted laparoscopic resection of huge retroperitoneal tumor was retrospectively studied. The surgical skill, complications and effect were analyzed.?Results?All the operations were successfully performed. The patients recovered well, without serious complications, during the 6 to 33 months follow-up, no tumor recurrence occurred in 4 cases. The residual tumor volume decreased obviously after chemotherapy in 1 case with retroperittoneal lymphoma.?Conclusion?The complex huge retroperitoneal tumor can be safely resected by Da Vinci robot-assisted laparoscopy with few complications, and the efficacy is satisfied. The operation can be well completed via retroperitoneal approach as well as transperitoneal approach.