加速康复外科理念在机器人辅助经剑突下入路前纵隔肿瘤切除术中的应用
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中图分类号 R655.5文献标识码 A 文章编号2096-7721（2026）03-0412-07
Application of enhanced recovery after surgery concepts in robot assisted anterior mediastinal tumor resection via subxiphoid approach
TANAo'，YU Binglong'，SUJiacheng'，LIULixin²，MA Minjie²，HANBiao² （1.TheFirstClicaldicalCollegeofnzouUiversityLanzhouoo，Cina;2.eparmentoforacicSurgeryt Hospital of Lanzhou University，Lanzhou 73oooo， China）
AbstractObjective：Toevaluate theclinical efficacyofenhanced recovery aftersurgery （ERAS）concepts inrobot-assisted anterior mediastinal tumorresectionvia subxiphoid approach.Methods：Aretrospectivestudy was conductedon159 patients who underwentrobot-assistedanteriormediastinaltumorresectionviasubxiphoidapproachattheDeparmentofThoracicSurgerythe First HospitalofLanzhou Universityfrom October 2017toOctober2O24.Patients were divided into theconventional group（ n =89， receiving standardized perioperative management on thoracic surgery） and the ERAS group （ n= ：70， receiving comprehensive ERAS management）.Hospitalization-related indicators and postoperativecomplicationrates were compared between thetwo groups. Results：The ERAS group had significantlyshorteroperative timeand length of hospital staythantheconventional group （ P <0.05）. Duration of ambulation on postoperative days1，2，and 3 were significantly longer in the ERAS group （ P <0.05）. Chest tube drainage volume，VASscore onpostoperativeday3，andpeakpostoperativeWBCcount were significantlylower intheERAS group（ P <0.05）. Nosignificantdiferencsweresredinhesttubeduration，preoprativeanesesiatie，lowestposopetivelymphoyteount， lowest postoperativealbuminlevel，orVASscoresonpostoperativedays1and2betweenthetwogroups（P>0.O5）.Incidenceatesof postoperativeplascingaaticueydisialietioeompablees （P>0.05） .However，theERASgroupshowedsignificantlylowerratesofpulmonaryinfectionandpleuralefusionthantheconventional group （P<0.05） .Conclusion： The appication of ERAS concepts in robot-asisted anterior mediastinal tumor resection via subxiphoid approachcanachievesignificantclinicalbenefits，whichshouldbeintegratedintostandardizedclinicalpracticetooptimizepatient outcomes.
KeyWordsEnhancedRecoveryafterSurgery;Robot-asistedSurgery;SubxiphoidApproach;AnteriorMediastinalTumor
纵隔肿瘤是胸外科常见疾病之一{]，其中前纵隔肿瘤占比最高[2-4]。（剩余10890字）