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目的探讨应用达芬奇机器人手术系统(DVSS)行纵隔肿瘤切除术中完全无管化(TNT)的安全性和可行性。方法回顾性分析2015年11月沈阳军区总医院胸外科应用DVSS行纵隔肿瘤切除术的3例患者的临床资料,术中无气管插管,术后无胸引管、无尿管。分析患者术中及术后恢复情况。结果本组3例患者均顺利完成手术,术后无并发症,术后住院中位天数3 d。结论 TNT下的DVSS纵隔肿瘤切除是安全、可行的,患者创伤更小,恢复更快,住院时间更短,符合快速康复外科的理念。
Objective To investigate the safety and feasibility of complete denervation (TNT) in mediastinal tumor resection using the Da Vinci robot system (DVSS). Methods The clinical data of 3 patients who underwent mediastinal tumor resection by DVSS in Department of Thoracic Surgery, Shenyang Military Region General Hospital from November 2015 to November 2015 were retrospectively analyzed. No tracheal intubation, no thoracic duct and no catheter were performed during operation. Analysis of intraoperative and postoperative recovery of patients. Results All 3 patients in this study were successfully performed the operation without postoperative complications. The median postoperative hospital stay was 3 days. CONCLUSIONS: DVSS resection of the mediastinum under TNT is safe and feasible. Patients with less trauma, faster recovery and shorter hospital stay are in line with the concept of rapid rehabilitation surgery.