Abstract:

Objective　To analyze and compare the differences in pain, activity of daily living, quality of life, and complications between two kinds of robotic surgical systems for patients with urologic neoplasms. Methods　Twenty patients with urologic neoplasms who underwent endoscopic robotic surgery in Sun Yat-sen University Cancer Center from July 2021 to December 2021 were recruited by the random and single-blind method. They were divided into an experimental group (10 cases) and a control group (10 cases). The experimental group used domestic surgical robot, and the control group used Da Vinci surgical robot. The data of age, gender, body mass index (BMI), education level, employment status, comorbidity, family history, tumor classification, postoperative complication, postoperative pain, activity of daily living (ADL), recovery of gastrointestinal function, quality of life, and others of the two groups were analyzed and compared. t test, rank sum test, and Fisher exact probability were used. Results　There were no statistical differences in gender, education level, employment status, age, BMI, comorbidity, and tumor classification between the two groups (all P>0.05). The incidence of postoperative complications, the time of bowel sound recovery, the times of first flatus and defecation, pain score, and the ADL scores on day 1, 2, and 3 after the operation were 10% (1/10), (17.83±8.97) h, (21.49±7.94) h, (63.08±37.45) h, (3.00±1.05), (37.00±11.35), (64.50±13.01), and (75.00±10.80) in the experimental group, and were 20%(2/10), (18.97±7.24) h, (22.05±8.80) h, (49.97±29.15) h, (2.60±0.52), (47.50±12.08), (61.59±10.56), and (74.50±14.42) in the control group, with no statistical differences between the two groups (all P>0.05). There no statistical differences in the scores of EORTC quality of life QLQ-C30 (V3.0) 1 week and 1 and 3 months after the operation (all P>0.05). Conclusions　There are no significant differences in postoperative function recovery, complications, and quality of life between the domestic surgical robot and the Da Vinci surgical robot. It is of positive significance for popularization and application of the domestic surgical robot system in clinic as well as nursing.

Key words:

Urologic neoplasms, Robotic surgical systems, Function rehabilitation, Quality of life

摘要：

目的　分析并比较两种内窥镜手术机器人在泌尿肿瘤患者术后疼痛、日常活动能力、生活质量、术后并发症中的差异。方法　随机、单盲选取2021年7月至12月在中山大学肿瘤防治中心行内窥镜手术机器人治疗的20例泌尿肿瘤患者，分为试验组（10例）及对照组（10例），试验组使用国产手术机器人，对照组使用达芬奇手术机器人。收集两组患者年龄、性别、体质量指数（BMI）、文化程度、工作状况等基本资料，有无合并病、家族史、临床病理分型疾病相关资料，测量术后疼痛、日常活动能力（ADL）、胃肠道功能恢复、生活质量指标。采用t检验、秩和检验、Fisher确切概率法进行统计分析。结果　两组性别、文化程度、工作状况、年龄、BMI、有无合并慢性病、病理分型比较，差异均无统计学意义（均P>0.05）。试验组术后并发症发生率为10%（1/10）、肠鸣音恢复时间（17.83±8.97）h、第1次排气时间（21.49±7.94）h、第1次排便时间（63.08±37.45）h、疼痛评分（3.00±1.05）分、术后第1天ADL评分（37.00±11.35）分、术后第2天ADL评分（64.50±13.01）分、术后第3天ADL评分（75.00±10.80）分，对照组分别为20%（2/10）、（18.97±7.24）h、（22.05±8.80）h、（49.97±29.15）h、（2.60±0.52）分、（47.50±12.08）分、（61.59±10.56）分、（74.50±14.42）分，两组比较差异均无统计学意义（均P>0.05）。两组术后1周、1个月、3个月的EORTC生活质量测定量表QLQ-C30（V3.0）领域得分比较，差异均无统计学意义（均P>0.05）。结论　国产手术机器人与达芬奇手术机器人相比，在术后功能恢复、并发症的发生、术后生活质量上无明显差异，对国产手术机器人患者术后康复护理以及临床上的推广具有积极意义。

关键词:

泌尿肿瘤, 手术机器人, 功能康复, 生活质量