第三代da Vinci Si手术机器人系统在妇科单孔腹腔镜手术中的初步应用  

Preliminary application of the third-generation da Vinci Si robotic surgery system in gynecological single-port laparoscopic surgery

作　　者：刘晓军[1] 高京海 刘洋 金志军[1] 党建红[1] 吴玉仙[1] 罗炎 张育姣 李玲玲[1] 王静[1] LIU Xiao-jun;GAO Jing-hai;LIU Yang;JIN Zhi-jun;DANG Jian-hong;WU Yu-xian;LUO Yan;ZHANG YU-jiao;LI Ling-ling;WANG Jing(Department of Obstetrics and Gynecology,Changzheng Hospital,Naval Medical University(Second Military Medical University),Shanghai 200003,China;No.83 Army Hospital of PLA,Xinxiang 453000,Henan,China)

机构地区：[1]海军军医大学(第二军医大学)长征医院妇产科,上海200003 [2]陆军83集团军医院,新乡453000

出　　处：《第二军医大学学报》2021年第5期573-576,共4页Academic Journal of Second Military Medical University

摘　　要：目的探讨da Vinci Si手术机器人系统在妇科单孔腹腔镜手术中的初步应用效果。方法选择2018年5月27日至6月20日在海军军医大学(第二军医大学)长征医院妇产科住院、拟行妇科手术的患者5例,应用第三代da Vinci Si手术机器人系统和LagiportTM多通道单孔腹腔镜手术穿刺器实施单孔机器人腹腔镜手术。其中宫颈高级别上皮内瘤变(宫颈锥切术后提示微浸润不除外)患者1例,行全子宫切除术+前哨淋巴结切除术;宫颈浸润癌Ⅰa1期患者1例,行全子宫切除术+双附件切除术+前哨淋巴结切除术;子宫内膜癌Ⅰa1期患者1例,行全子宫切除术+双附件切除术+前哨淋巴结切除术;子宫内膜异位症Ⅳ期患者1例,行广泛肠粘连松解术+单侧附件切除术;宫颈浸润癌Ⅱa1期患者1例,行广泛子宫切除术+双附件切除术+盆腔淋巴结清扫术。结果5例患者手术均顺利完成,未增加辅助孔操作。5例患者的手术时间分别为174、110、90、125、300 min,术中出血量分别约为110、80、100、210、150 mL。5例患者均未出现围手术期并发症。结论利用第三代da Vinci Si机器人手术系统进行妇科单孔腹腔镜手术具备一定的可行性。Objective To investigate the preliminary application of the da Vinci Si robotic surgery system for gynecological single-port laparoscopic surgery.Methods Five patients who were hospitalized for elective gynecological surgery in the Department of Obstetrics and Gynecology of Changzheng Hospital,Naval Medical University(Second Military Medical University)from May 27 to June 20,2018 were enrolled.The single-port laparoscopic surgeries were performed with the third-generation da Vinci Si robotic surgery system and LagiportTM multi-channel single-port laparoscopic puncture device.One patient with high-grade cervical intraepithelial neoplasia(microinfiltration cannot be excluded after cervical conization)underwent total hysterectomy+sentinel lymphadenectomy;one patient with stageⅠa1 invasive cervical carcinoma underwent total hysterectomy+bilateral adnexectomy+sentinel lymphadenectomy;one patient with stageⅠa1 endometrial carcinoma underwent total hysterectomy+bilateral adnexectomy+sentinel lymphadenectomy;one patient with stageⅣendometriosis underwent extensive enterolysis+unilateral adnexectomy;and one patient with stageⅡa1 invasive cervical carcinoma underwent extensive hysterectomy+bilateral adnexectomy+pelvic lymph node dissection.Results The operation of the 5 patients was successfully completed without additional auxiliary port.The operative duration of the 5 patients were 174,110,90,125 and 300 min,and the volumes of the intraoperative blood loss were about 110,80,100,210 and 150 mL.None of the 5 patients had perioperative complications.Conclusion The third-generation da Vinci Si robotic surgery system has promising feasibility for gynecological single-port laparoscopic surgery.

关 键 词：单孔腹腔镜手术 机器人手术 妇科外科手术 da Vinci Si手术机器人系统 

分 类 号：R713[医药卫生—妇产科学]