达芬奇机器人宫颈癌根治术与传统腹腔镜的对比研究  

Comparative Study of Da Vinci Robot-Assisted Radical Hysterectomy of Cervical Cancer and Traditional Laparoscopy

作　　者：陈德招[1] 陈佩芳[1] CHEN Dezhao;CHEN Peifang(Department of Obstetrics and Gynecology,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院妇产科

出　　处：《福建医科大学学报》2019年第4期261-263,共3页Journal of Fujian Medical University

摘　　要：目的对比分析达芬奇机器人辅助腹腔镜与传统腹腔镜2种手术方式在宫颈癌根治术中的临床应用价值。方法回顾性分析35例宫颈癌(IB1ⅡA1期)根治术患者的临床资料,其中机器人手术系统辅助腹腔镜下宫颈癌根治术16例(机器人组),传统腹腔镜宫颈癌根治术19例(腹腔镜组)。对比2组指标:手术时间、手术出血量、淋巴结切除数目、胃肠道功能恢复时间、术后尿管拔除时间、手术并发症发生率等。结果35例手术均顺利完成,无中转开腹或更改手术方式。机器人组与腹腔镜组手术时间分别为(303.26±52.33)min和(201.34±48.76)min,手术出血量为(67.38±17.26)mL和(90.34±33.21)mL,胃肠道功能恢复时间(34.6±16.3)h和(53.9±11.6)h,术后尿管拔除时间(16.70±6.33)d和(20.36±7.54)d,2组手术并发症发生率分别为12.5%和21.1%,以上指标差别均有统计学意义(P<0.05);但2组的淋巴结切除数目分别为(35.21±14.33)枚和(33.18±13.54)枚,差别无统计学意义(P>0.05)。结论达芬奇机器人辅助腹腔镜在宫颈癌手术方面较传统腹腔镜手术有创伤小、恢复快等优势。Objective To compare and analyze the clinical application value of Da Vinci robotassisted laparoscopy with traditional laparoscopy in cervical cancer radical hysterectomy.Methods The clinical data of 35 cases of radical operation for cervical cancer(stageⅠB1ⅡA1)were retrospectively analyzed.16 cases underwent robotassisted laparoscopic radical operation for cervical cancer(robot group)and 19 cases underwent traditional laparoscopic radical operation for cervical cancer(laparoscopic group).Following factors from both groups were recorded and compared amonge them:operation time,amount of bleeding,number of lymph node resection,recovery time of gastrointestinal function,time of catheter removal after operation,incidence of complications,and other factors.Results All 35 operations were successfully completed without conversion to laparotomy or change of surgical procedure.The operation time of robotic group and laparoscopic group was(303.26±52.33)min and(201.34±48.76)min,respectively.The bleeding volume was(67.38±17.26)mL and(90.34±33.21)mL,the recovery time of gastrointestinal function was(34.6±16.3)h and(53.9±11.6)h,and the removal time of urinary catheter was(16.70±6.33)d and(20.36±7.54)d,the incidence of surgical complications in the two groups was 12.5%and 21.1%,respectively.There were significant differences in the above indicators(P<0.05).However,the number of lymphadenectomies in the two groups was(35.21±14.33)and(33.18±13.54),respectively,with no significant difference(P>0.05).Conclusion Da Vinci robotassisted laparoscopic surgery in cervical cancer surgery,compared with traditional laparoscopic surgery,has advantages of less trauma and faster recovery.

关 键 词：机器人 腹部 腹腔镜 宫颈肿瘤 

分 类 号：R-05[医药卫生] R443.8