PDF(Pubmed)
Abstract：
UNASSIGNED: Although the robotic surgical system has accumulated rich experience in the development of thoracic surgery, its application in Tibet area is relatively late. We report our experience concerning da Vinci Xi system in thoracic surgery and observe its practicability and surgical effect.
UNASSIGNED: We retrospectively analyzed 26 patients who underwent robotic thoracic surgery including: twelve lung resection, two esophagectomies, ten mediastinal surgeries and two rib mass resection. The data of patient characteristics, operative time, perioperative complications were collected.
UNASSIGNED: Of the 26 patients, 22 cases were completed with da Vinci system successfully, including 7 segmentectomies, 4 lobectomies, 1 subsegmentectomy, 2 esophagectomies, 10 mediastinal surgeries (6 thymic resections, 3 posterior mediastinal tumor resection, 1 mediastinal cyst resection) and 2 rib mass resection. In which, 3 cases of lung resection begun with robotic technique were converted to thoracoscopic surgery (due to calcification of hilar lymph node), 1 case of bilobectomy was converted to thoracotomy due to thoracic adhesion. All the operations went well and no patients need blood transfusion. All patients had satisfactory postoperative recovery.
UNASSIGNED: It is safe, reliable and effective to carry out robotic thoracic surgery on the plateau. On the premise of carefully and seriously discussing the indications of surgery, we should actively carry out the application of da Vinci robotic surgery system in Tibet Plateau.
UNASSIGNED: We retrospectively analyzed 26 patients who underwent robotic thoracic surgery including: twelve lung resection, two esophagectomies, ten mediastinal surgeries and two rib mass resection. The data of patient characteristics, operative time, perioperative complications were collected.
UNASSIGNED: Of the 26 patients, 22 cases were completed with da Vinci system successfully, including 7 segmentectomies, 4 lobectomies, 1 subsegmentectomy, 2 esophagectomies, 10 mediastinal surgeries (6 thymic resections, 3 posterior mediastinal tumor resection, 1 mediastinal cyst resection) and 2 rib mass resection. In which, 3 cases of lung resection begun with robotic technique were converted to thoracoscopic surgery (due to calcification of hilar lymph node), 1 case of bilobectomy was converted to thoracotomy due to thoracic adhesion. All the operations went well and no patients need blood transfusion. All patients had satisfactory postoperative recovery.
UNASSIGNED: It is safe, reliable and effective to carry out robotic thoracic surgery on the plateau. On the premise of carefully and seriously discussing the indications of surgery, we should actively carry out the application of da Vinci robotic surgery system in Tibet Plateau.
摘要：
■尽管机器人手术系统在胸外科的发展中积累了丰富的经验，其在西藏地区的应用相对较晚。我们报告了有关达芬奇系统在胸外科手术中的经验，并观察了其实用性和手术效果。
■我们回顾性分析了26例接受机器人胸外科手术的患者，包括：12例肺切除术，两次食管切除术,十次纵隔手术和两次肋骨肿块切除术。患者特征的数据，手术时间,收集围手术期并发症。
■在26名患者中，达芬奇系统成功完成22例，包括7个部分切除术，4个肺活瘤,1次节段切除术,2例食管切除术,10例纵隔手术（6例胸腺切除术，3后纵隔肿瘤切除术，纵隔囊肿切除1例)和肋骨肿块切除2例。其中，3例采用机器人技术开始的肺切除术转换为胸腔镜手术（由于肺门淋巴结钙化），1例双叶切除术因胸部粘连转为开胸手术。所有手术都进行得很顺利，没有病人需要输血。所有患者术后恢复满意。
■它是安全的，在高原上开展机器人胸外科手术的可靠性和有效性。在认真认真讨论手术适应证的前提下,积极开展达芬奇机器人手术系统在西藏高原的应用。
■我们回顾性分析了26例接受机器人胸外科手术的患者，包括：12例肺切除术，两次食管切除术,十次纵隔手术和两次肋骨肿块切除术。患者特征的数据，手术时间,收集围手术期并发症。
■在26名患者中，达芬奇系统成功完成22例，包括7个部分切除术，4个肺活瘤,1次节段切除术,2例食管切除术,10例纵隔手术（6例胸腺切除术，3后纵隔肿瘤切除术，纵隔囊肿切除1例)和肋骨肿块切除2例。其中，3例采用机器人技术开始的肺切除术转换为胸腔镜手术（由于肺门淋巴结钙化），1例双叶切除术因胸部粘连转为开胸手术。所有手术都进行得很顺利，没有病人需要输血。所有患者术后恢复满意。
■它是安全的，在高原上开展机器人胸外科手术的可靠性和有效性。在认真认真讨论手术适应证的前提下,积极开展达芬奇机器人手术系统在西藏高原的应用。
