机器人宫颈癌根治术201例临床价值分析  

Clinical value analysis of 201 cases of robot-assisted radical hysterectomies for cervical cancer

作　　者：赵恩慧[1] 李立安[1] 范文生[1] 黄柯[1] 叶明侠[1] 翟青枝[1] 孟元光[1] 

机构地区：[1]解放军总医院妇产科,北京100853

出　　处：《中华腔镜外科杂志（电子版）》2015年第6期9-12,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：国家自然科学基金(81272867)

摘　　要：目的分析机器人宫颈癌根治术的临床价值。方法回顾性分析解放军总医院2008年12月至2015年8月机器人宫颈癌根治术的病例201例,总结患者的临床病理特征、手术时间、术中出血、切除淋巴结数目、并发症率、复发率及生存率。结果 201例患者中有2例中转开腹,手术时间平均（237.9±65.5）min、术中出血平均（186.5±26.8）ml、切除淋巴结平均（23.7±0.7）枚,术中并发症率1.5%,术后并发症率20.9%,随访14.2个月（3~81个月）,4.5%的患者局部复发,1.9%的患者远处转移。总体生存率：1年96.9%、3年95.3%、5年95.3%。无病生存率：1年92.7%、3年81.8%、5年81.8%。结论机器人手术对早期宫颈癌治疗是安全可靠的。Objective To study the clinical value of robot-assisted radical hysterectomies （RRHS） for cervical cancer. Methods A retrospective review of 201 patiens with cervical cancer undergoing RRHS at PLA General Hospital between Dec. 2008 and Aug. 2015 is performed. Summarized the clinical pathological characteristics, operation time, intraoperative blood loss, resection of lymph node number, complications, recurrence rate and survive rate. Results Two of the 201 patiens transfered laparotomy. The average operative time was （237.9 ＋ 65.5） minutes, intraoperative blood loss was （ 186.5 ＋ 26.8 ） ml, resection of lymph node number was （23. 7 ＋- 0. 7 ）, the intraoperative complications was 1. 5%, postoperative complications was 20.9%. the average follow-up was 14.2 months （range, 3-81 months ） , 4.5% of the patients happened locally recurrent, 1.9% of the patients happened distant metastasis, The 1- 3 and 5-year overall survivals were 96.9% , 95.3% , 95.3% respectively. The 1-3 and 5-year disease-free survivals （DFSs） were 92.7% ,81.8% , 81.8% respectively. Conclusions RRHS is safe and reliable for the early cervical cancer.

关 键 词：宫颈癌 微创 机器人手术 生存率 

分 类 号：R737.33[医药卫生—肿瘤]