达芬奇机器人系统在宫颈癌根治术中的应用(附40例报告)  

Clinical application of da Vinci robotic surgery in cervical cancer : with a report of 40 cases

作　　者：刘金钰 张锌[2] 高春英[1] 朴金霞[1] 

机构地区：[1]吉林省肿瘤医院妇科肿瘤一科,长春130012 [2]吉林大学中日联谊医院风湿免疫科,长春130031

出　　处：《中华腔镜外科杂志（电子版）》2017年第2期93-96,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨达芬奇机器人手术系统应用于宫颈癌根治术的安全性及有效性。方法回顾性分析吉林省肿瘤医院妇科肿瘤一科2015年7月至2016年6月为40例宫颈癌患者行达芬奇机器人宫颈癌根治术(广泛性全子宫切除术+盆腔淋巴结切除术)的临床资料,观察手术时间、术中出血量、中转开腹、清扫淋巴结数、术后肠蠕动恢复时间、术后住院时间等。结果 40例患者均顺利完成手术,无一例中转开腹,未发生髂血管及输尿管、膀胱、肠管等盆腔器官损伤,手术时间(240.2±60.3)min,术中出血量(65.6±21.4)ml,清扫淋巴结(23.1±3.9)枚,术后胃肠功能恢复时间(2.6±1.0)d,标本残端均无肿瘤细胞残留,术后住院时间(12.5±2.1)d。结论达芬奇机器人技术应用于宫颈癌根治术安全可行、疗效显著。Objective The purpose of this study was to discuss the safety and feasibiIity of da Vinci robotic surgery-assisted resection of cervical cancer. Methods Department of gynecologic oncology, Jilin cancer hospital front Jul. 2015 to Jun. 2016 who underwent da Vinci robotic surgery-assisted resection of cervical cancer was retrospectively analyzed. The operating time, blood loss, number of conversion, number of hal~＇ested lymph node, postoperative intestinal peristalsis recovery time, the average hospital stay affer surgery were observed. Results All of the patients were operated successfully with no conversion, no iliac blood vessels, ureter, bladder and bowel pelvic organ damage, et al. The average operative time was （240.2 ± 60.3） min. The mean intraoperative blood loss was（65.6 ~ 21.4）ml; The mean postoperative gastro intestinal function recovery time was（2.6 ±1.0）d. All specimens stump were found with non-cancer cell infiliration,number of harvested lymph node was（23.1 ± 3.9）. The average hospital stay affer surgery was （ 12.5 ± 2.1 ） d. Conclusion Da Vinci robotic surgery- assisted resection of cervical cancer is safe, feasible and efective.

关 键 词：达芬奇机器人手术 宫颈癌 宫颈癌根治术 

分 类 号：R737.33[医药卫生—肿瘤]