| Objective:Comparison of short-term results of robotic thoracoscopic radical esophagectomy and conventional endoscopic radical esophageal cancer.Methods:The medical records of 78 patients with esophageal cancer who were admitted to the First Affiliated Hospital of Nanchang University from January 1,2018 to December 31,2018 were collected.Among them,34 were in the robot group and 44 in the thoracoscopic surgery group.Observe and count the general data of patients under the robot-assisted esophageal cancer surgery group and traditional open esophageal cancer surgery(age,gender,tumor location,preoperative comorbidities,preoperative chemotherapy),operation time,intraoperative blood loss,specimens Length and TNM staging,number of lymph node dissection,postoperative hospital stay,postoperative chest tube drainage days,postoperative day 1 and day 7 pain score(VAS score),postoperative complications(pulmonary complications,chylothorax,recurrent laryngeal nerve injury,anastomotic leakage,secondary surgery,wound infection,death and other adverse outcomes)hospitalization costs.Results:The average operation time of the robotic operation group was 263.97±94 minutes,and the average operation time of the laparoscopic surgery group was 209.62±79 minutes.The difference was statistically significant.The average number of lymph node dissections in the robotic operation group was 27.87±13.22,and the average lymph node of the laparoscopic surgery group.The number of cleansing was 18.09±11.10,the difference was statistically significant.The average VAS score on the first day after surgery was 3.11±0.90 in the robotic operation group,and the mean VAS score was 2.07±0.99 on the 7th day after surgery.The average VAS score on the first day after the test was 3.96±0.96,and the mean VAS score on the 7th day after surgery was 2.71±1.10.The difference was statistically significant.The average hospitalization cost of the robotic surgery group was 103983±10747 yuan,and the average hospitalization cost of the endoscopic surgery group was 79145.±8694 yuan,the difference was statistically significant.The average intraoperative blood loss in the robotic surgery group was 198.67±102.09 ml,and the average intraoperative blood loss in the laparoscopic surgery group was 183.73±105.70 ml.There was no statistical difference.The rate of lymph node elevation in the robotic operation group was 26.47%,and the rate of lymph node elevation in the laparoscopic surgery group was 18.18%.There was no statistical difference.The average specimen length of the robotic surgery group was 7.83±3.44 cm,and the average specimen length of the laparoscopic surgery group was 7.01±3.06 cm.There was no statistical difference.In the robotic surgery group,10 cases of tumor in the TNM stage I accounted for 29.41%,19 cases accounted for 55.88% in stage II,and 5 cases accounted for 14.71% in stage III.The tumor in the laparoscopic surgery group was in TNM stage I.The proportion of cases accounted for 27.27%,27 cases of stage II accounted for 61.36%,and 5 cases of stage III accounted for 11.36%,no statistical difference.The average number of chest tube days in the robotic surgery group was 6.8 days,and the average number of chest tube days in the laparoscopic surgery group was 6.9 days.There was no statistical difference.The average postoperative hospital stay was 18.9±2.1 days in the robotic surgery group and 16.1±2.6 days in the laparoscopic surgery group.There was no statistical difference.In the robotic surgery group,the total number of complications occurred in 12 cases was 35.29%.In the laparoscopic surgery group,the total number of complications occurred in 15 cases(34.09%),no statistical difference.Conclusion:Robotic surgery is a safe and feasible surgical procedure.The recent surgical results are similar to thoracoscopic surgery.The number of lymph node dissection is better than thoracoscopic surgery.The postoperative pain is lighter,but the operation time is longer than thoracoscopy,and the hospitalization cost is higher than that of endoscopic surgery. |
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