Clinical analysis of robotic ultrasonic-coagulation-suture in spleen-preserving distal pancreatectomy with the Kimura technique

doi:10.3877/cma.j.issn.1674-6899.2020.02.011

Abstract

Abstract:

To investigate the clinical efficacy and satety of robotic ultrasonic-coagulation-suture in spleen-preserving distal pancreatectomy with the Kimura the technique.

Method

The study retrospectively analyzed 31 patients undergoing robotic pancreaticoduodenectomy and distal pancreatectomy from Oct, 2014 to Jan. 2020 in the affiliated of hospital of Qingdao University. The operation time, bleeding during placement, postoperative drainage volume, postoperative drainage fluid amylase, surgical expenses, drainage tube removal time, postoperative hospitalization days and the pathology were compared between the observation group and the control group.

Results

There were 8 patients in the observation group, including 1 males and 7 females, age 23-62 years old, average age 43 years old; In the control group, there were 23 patients, including 5 males and 18 females, aged 19-75 years with an average age of 49 years. The single-factor analysis of the experimental group and control group showed: gender (P=0.584), age (P=0.445), postoperative complications (P=0.036), operation time (P=0.992), intraoperative bleeding (P=0.909), postoperative hospitalization(P=0.403), surgery expense(P=0.527).

Conclusions

Robotic ultrasonic-coagulation-suture is safe, reliable, simple. It is worthy of widespread promotion.

Key words: Da Vinci robotic surgery, Robotic ultrasonic-coagulation-suture, Distal pancreatectomy, Preserve spleen

Kai Ma, Chuandong Sun, Bingyuan Zhang, Fabo Qiu, Shun Zhang, Weidong Guo, Xiaoxiao Li, Chengzhan Zhu, Hao Zou, Zehua Wu, Mengqi Song, Yujie Feng, Bing Han. Clinical analysis of robotic ultrasonic-coagulation-suture in spleen-preserving distal pancreatectomy with the Kimura technique[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(02): 113-118.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2020.02.011

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2020/V13/I02/113

Figures/Tables 7

References 14

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病例序号	性别	年龄(岁)	手术时间(min)	术中出血量(ml)	住院费用(元)	术后住院时间(d)	术后病理
1	女	44	135	100	71 776.83	5	浆液性囊腺瘤
2	男	33	240	100	70 607.46	9	神经内分泌肿瘤
3	女	59	240	50	72 795.24	4	黏液性囊腺瘤
4	女	62	250	30	70 086.01	8	神经内分泌肿瘤
5	女	51	190	50	75 815.30	6	实性假乳头肿瘤
6	女	31	255	80	74 940.69	4	实性假乳头状瘤
7	女	23	270	30	84 959.18	6	实性假乳头状瘤
8	女	40	200	100	79 097.96	9	浆液性囊腺瘤

病例序号	性别	年龄(岁)	手术时间(min)	术中出血量(ml)	住院费用(元)	术后住院时间(d)	术后病理
1	女	44	135	100	71 776.83	5	浆液性囊腺瘤
2	男	33	240	100	70 607.46	9	神经内分泌肿瘤
3	女	59	240	50	72 795.24	4	黏液性囊腺瘤
4	女	62	250	30	70 086.01	8	神经内分泌肿瘤
5	女	51	190	50	75 815.30	6	实性假乳头肿瘤
6	女	31	255	80	74 940.69	4	实性假乳头状瘤
7	女	23	270	30	84 959.18	6	实性假乳头状瘤
8	女	40	200	100	79 097.96	9	浆液性囊腺瘤

患者特征		试验组(8例)	对照组(23例)
性别(男/女)		1/7	5/18
年龄(岁，±s)		42.88±13.81	49.13±15.22
术后住院时间(d，±s)		6.05±2.07	7.29±2.53
住院费用(元，±s)		73 009.83±5 004.82	77 729.22±11 884.06
手术时间(min，±s)		222.50±44.56	222.17±91.39
术中出血量(ml，±s)		67.50±31.05	70.00±58.39
术后并发症(例)		0	8
?	围手术期出血	0	1
?	胰腺假性囊肿	0	4
?	术后腹腔脓肿	0	3
术后病理(例)		?	?
?	实性假乳头状瘤	3	8
?	神经内分泌肿瘤	2	3
?	浆液性囊腺瘤	2	5
?	粘液性囊腺瘤	1	1
?	囊肿	0	6

患者特征		试验组(8例)	对照组(23例)
性别(男/女)		1/7	5/18
年龄(岁，±s)		42.88±13.81	49.13±15.22
术后住院时间(d，±s)		6.05±2.07	7.29±2.53
住院费用(元，±s)		73 009.83±5 004.82	77 729.22±11 884.06
手术时间(min，±s)		222.50±44.56	222.17±91.39
术中出血量(ml，±s)		67.50±31.05	70.00±58.39
术后并发症(例)		0	8
?	围手术期出血	0	1
?	胰腺假性囊肿	0	4
?	术后腹腔脓肿	0	3
术后病理(例)		?	?
?	实性假乳头状瘤	3	8
?	神经内分泌肿瘤	2	3
?	浆液性囊腺瘤	2	5
?	粘液性囊腺瘤	1	1
?	囊肿	0	6

项目		对照组(23例)	试验组(8例)	P值
性别(例)		?	?	0.584
?	男	5	1	?
?	女	18	7	?
年龄(例)		?	?	0.445
?	<60岁	17	6	?
?	≥60岁	6	2	?
并发症(例)		?	?	0.036
?	有	9	0	?
?	无	14	8	?
手术时间(min，±s)		222.50±44.56	222.17±91.39	0.992
术中出血量(ml，±s)		67.50±31.05	70.00±58.39	0.909
住院时间(d，±s)		6.50±2.07	7.29±2.53	0.403
住院费用(元，±s)		75 009.83±5 004.82	77 729.22±11 884.06	0.527

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