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目的：探讨单孔达芬奇机器人辅助肺癌根治术的近期疗效及学习曲线。方法：采用回顾性队列研究方法，收集2023年6月至2024年4月新疆医科大学附属肿瘤医院收治的120例肺癌患者临床资料，根据治疗方法不同将其分为观察组和对照组，每组60例。对照组采取胸腔镜手术进行治疗，观察组采取单孔达芬奇机器人辅助肺癌根治术治疗。比较两组患者的手术指标、治疗效果、术后并发症和学习曲线拟合之间的差异。结果：观察组和对照组术后总胸腔引流量、带管时间比较，差异均无统计学意义(P>0.05)，观察组和对照组患者的中转开胸率分别为1.67%(1/60)和11.67%(7/60)，两组比较差异有统计学意义(x2=4.821,P<0.05)；观察组患者的手术时间、术中出血量和术后住院时间均低于对照组，差异均有统计学意义(t=13.318、93.763、3.797,P<0.05)；观察组患者术中清扫淋巴结总数、N2站淋巴结清扫数、清扫淋巴结总组数均高于对照组，差异均有统计学意义(t=2.960、3.048、6.319,P<0.05)；观察组与对照组的术后肺部漏气、胸腔积液、切口渗血等并发症相比较，差异均无统计学意义(P>0.05)。观察组单孔达芬奇机器人肺癌根治术患者在手术例数为55例时手术最短时间(101.22 min)，学习曲线拟合良好(R2=0.912)。结论：单孔达芬奇机器人辅助肺癌根治对肺癌患者进行治疗，其淋巴结清扫以及术后出血情况得到显著改善。单孔达芬奇机器人肺癌根治术的学习曲线短，经55例手术后操作趋于熟练，手术时间趋于稳定期，可作为临床治疗的重要措施之一。
Abstract：Objective: To explore curative effect and learning curve of single-port da Vinci robot-assisted radical resection for lung cancer on lung function. Methods: A retrospective cohort study was conducted to select 120 patients with lung cancer who admitted to the Affiliated Cancer Hospital of Xinjiang Medical University from June 2023 to April 2024. According to different treatment methods, they were divided into an observation group and a control group, with 60 cases in each group. The control group adopted thoracoscopic surgery to conduct treatment, while the observation group adopted single-port da Vinci robot-assisted radical resection to treat lung cancer. The differences of surgical indicators, treatment outcomes, postoperative complications, and fitting of learning curve were compared between the two groups. Results: There were not statistically significant differences in total postoperative drainage volume of chest, duration with tube between the observation group and the control group(P﹥0.05). The conversion rates to conduct laparotomy were respectively 1.67%(1/60) and 11.67%(7/60) in the observation group and the control group, with a statistically significant difference between the two groups(x2=4.821, P<0.05). The operational time, the volume of intraoperative blood loss, and postoperative length of hospital stay of observation group were all shorter than those of control group, and all differences were statistically significant(t=13.318, 93.763, 3.797, P<0.05). The total number of resecting lymph nodes, the number of resecting lymph nodes of N2 station, and total number of the groups of resecting lymph nodes of observation group were all higher than those of control group, and the differences were statistically significant(t=2.960, 3.048, 6.319, P<0.05). There were not statistically significant differences in postoperative complications, which included pulmonary leakage, pleural effusion, and incision bleeding after surgery, between observation and control groups(P﹥0.05). The surgical time of observation group of using single-port da Vinci robot-assisted radical resection for lung cancer was shortest when the surgical case was the 55th case(101.22 min), and the fitting of learning curve was favorable(R2=0.912). Conclusion: Using single-port da Vinci robot-assisted radical resection for lung cancer to treat patients with lung cancer, the resected lymph nodes and postoperative bleeding of patients are significantly improved.The learning curve of single-port da Vinci robot-assisted radical resection for lung cancer was short. After the 55th surgery, the operation is gradually proficient, and the surgical time gradually trends to stable stage. It can be used as one of clinically important measures
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基本信息:
中图分类号:R734.2
引用信息:
[1]杨月莹,初建虎,高云飞,等.单孔达芬奇机器人辅助肺癌根治术的近期疗效及学习曲线分析[J].中国医学装备,2026,23(09):24-27+32.
基金信息:
新疆“天山英才”医药卫生高层次人才培养计划（TSYC202401A066）~~
2026-09-23
2026-09-23