机器人与腹腔镜直肠癌根治术后患者功能恢复及生活质量的对比研究

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Abstract Objective To compare the differences in postoperative complications, postoperative anal function, urinary function, and quality of life between robotic and laparoscopic radical rectal cancer surgery. Methods The clinical data of 179 patients who underwent rectal surgery in Xiangya Third Hospital of Central South University from January 2021 to July 2022 were collected, and the patients were divided into the robotic group (37 patients) and laparoscopic group (44 patients) through the inclusion and exclusion criteria and were followed up up up for up to one year, comparing the differences in postoperative complications, anal function, urinary function and quality of life of the two groups of patients. Results There were no intermediate openings and no intraoperative deaths in the two groups. Postoperative pathological data, surgical situation, perioperative recovery, the difference was not statistically significant , the total incidence of complications in the robotic group was lower than that of the laparoscopic group at 1 year after surgery ; anastomotic fistula, intestinal obstruction, and the incidence of reoperation at 1 year after surgery, the difference was not statistically significant ; the symptom scores, functional scores, and the overall health scores of the patients of the two groups were higher than that of the laparoscopic group at 1 month after surgery . Comparison, the difference was not statistically significant; 1 month after surgery, the economic hardship score of the robotic group was higher than that of the laparoscopic group , and the overall nausea and vomiting symptom score of the robotic group was higher than that of the laparoscopic group ; 3 months after surgery, the robotic group had a greater advantage over the laparoscopic group in terms of fatigue, constipation symptom scores, physical function, and overall health status; at 6 months postoperatively and 12 months postoperatively, patients in the robotic group had better overall health than patients in the laparoscopic group; and the cost of hospitalisation was higher in the robotic group than in the laparoscopic group. Conclusion Compared with laparoscopic surgery, robotic surgery for rectal cancer has advantages in reducing the incidence of postoperative complications and improving patients' postoperative quality of life.

Key words： rectal cancer laparoscopy robotic surgery quality of life urinary function anal function

Received: 30 December 2023

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R735.3+7

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	Articles by authors
	HUANG Feilong
	LI Liang
	ZHANG Yi
	HU Gui
	GUO Yihang
	LONG Fei
	LIN Changwei
	LI Xiaorong

Cite this article:

HUANG Feilong,LI Liang,ZHANG Yi等. Comparative study of functional recovery and quality of life in patients after robotic versus laparoscopic radical rectal cancer surgery[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(2): 66-72.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I2/66

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