上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2026, Vol. 46 ›› Issue (8): 1143-1148.doi: 10.3969/j.issn.1674-8115.2026.08.015

• 短篇论著 • 上一篇    

机器人辅助左半结肠癌切除术的安全性及可行性

陈浩, 胡腾程, 周立强, 王国森, 邓文升, 李振盛, 熊建阳, 李正荣, 曹毅()   

  1. 南昌大学第一附属医院胃肠外科，南昌 330006
  • 收稿日期:2025-12-29 接受日期:2026-03-26 出版日期:2026-08-13 发布日期:2026-08-13
  • 通讯作者: 曹 毅，副主任医师，博士；电子信箱：ndyfy04150@ncu.edu.cn。
  • 作者简介:第一联系人：陈浩负责论文撰写及修改，胡腾程、李振盛、熊建阳、邓文升参与临床资料收集，周立强、王国森、李正荣负责统计学分析，曹毅负责研究设计。所有作者均阅读并同意提交最终稿件。
  • 基金资助:
    江西省自然科学基金(20224BAB206063)

Safety and feasibility of robot-assisted left hemicolectomy for colon cancer

Chen Hao, Hu Tengcheng, Zhou Liqiang, Wang Guosen, Deng Wensheng, Li Zhensheng, Xiong Jianyang, Li Zhengrong, Cao Yi()   

  1. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
  • Received:2025-12-29 Accepted:2026-03-26 Online:2026-08-13 Published:2026-08-13
  • Contact: Cao Yi, E-mail: ndyfy04150@ncu.edu.cn.
  • About author:First author contact:Chen Hao was responsible for drafting and revising the manuscript. Hu Tengcheng, Li Zhensheng, Xiong Jianyang, and Deng Wensheng participated in the collection of clinical data. Zhou Liqiang, Wang Guosen, and Li Zhengrong were responsible for statistical analysis. Cao Yi was responsible for the study design. All authors have read the final version of the manuscript and consented to its submission.
  • Supported by:
    Natural Science Foundation of Jiangxi Province(20224BAB206063)

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摘要：

目的·评价机器人辅助左半结肠癌切除术（robot-assisted left hemicolectomy for colon cancer，R-LCC）在需行游离结肠左曲的左半结肠癌手术中的安全性及可行性。方法·回顾性纳入2015年9月—2023年6月于南昌大学第一附属医院胃肠外科接受R-LCC治疗的105例结肠癌患者。收集所有患者临床病理资料，统计并分析术后并发症发生情况，同时对患者进行预后随访。结果·105例行R-LCC的结肠癌患者中，1例因出血原因中转开放手术，患者中位手术时间为165 min。所有患者均达到R0切除，无切缘阳性病例。肿瘤大体病理分型以溃疡型为主，占比69.5%；肿瘤最大直径为（4.67±1.97）cm。患者淋巴结清扫总数为14（1~42）枚，转移淋巴结数目为0（0~13）枚。术后30 d总体并发症发生率为16.2%，其中手术部位感染是常见术后并发症，发生率为6.7%。患者术后1年、3年累积生存率分别为91.4%、85.1%。结论·接受R-LCC并游离结肠左曲的患者，术中并发症发生率较低，术后生存获益显著，证实机器人应用于该术式具有良好的安全性与可行性。

关键词: 机器人, 结肠癌, 围手术期, 安全性

Abstract:

Objective ·To evaluate the safety and feasibility of robot-assisted left hemicolectomy for colon cancer (R-LCC) in patients with left-sided colon cancer requiring left colic flexure mobilization. Methods ·A total of 105 patients with colon cancer who underwent R-LCC in the Department of Gastrointestinal Surgery, the First Affiliated Hospital of Nanchang University, between September 2015 and June 2023 were retrospectively enrolled. Clinical and pathological data of all patients were collected. The incidence of postoperative complications was analyzed, and postoperative prognostic follow-up was conducted for all patients. Results ·Among the 105 patients with colon cancer who underwent R-LCC, one patient converted to open surgery due to intraoperative bleeding. The median operative time was 165 min. All patients achieved R0 resection, with no cases of positive resection margins. The ulcerative type was the most common gross tumor type, accounting for 69.5% of all cases. The maximum tumor diameter was (4.67±1.97) cm. The total number of harvested lymph nodes was 14 (1‒42), and the number of metastatic lymph nodes was 0 (0‒13). The overall incidence of postoperative complications within 30 d was 16.2%. Surgical site infection was the most common postoperative complication, with an incidence rate of 6.7%. The 1- and 3-year cumulative survival rates were 91.4% and 85.1%, respectively. Conclusion ·Patients undergoing R-LCC with left colic flexure mobilization have a low incidence of intraoperative complications and favorable survival outcomes. These findings confirm that robotic surgery is safe and feasible for this procedure.

Key words: robot, colon cancer, perioperative period, safety

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