盆腔器官脱垂手术新入路:机器人辅助经阴道腹腔镜阴道骶骨固定术  

A new approach for pelvic organ prolapse:robot-assisted transvaginal laparoscopic sacrocolpopexy

作　　者：刘娟[1] 肖媛月 王倩青[2] 关振堃 关小明 Liu Juan;Xiao Yuanyue;Wang Qianqing;Guan Zhenkun;Guan Xiaoming(Department of Obstetrics and Gynecology,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;Division of Minimally Invasive Gynecology,Xinxiang Central Hospital,Xinxiang 453000,China;Guangzhou Medical University,Guangzhou 510150;China.4Division of Minimally Invasive Gynecology,Baylor College of Medicine,Houston 77030,USA)

机构地区：[1]广州医科大学附属第三医院妇产科,510150 [2]新乡市中心医院微创妇科,453000 [3]广州医学大学,510150 [4]贝勒医学院微创妇科,休斯顿77030

出　　处：《中华腔镜外科杂志（电子版）》2021年第3期168-171,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：国家自然科学基金面上项目(81671440);广州市科信局项目(202102010004)。

摘　　要：目的介绍一种治疗盆腔器官脱垂(pelvic organ prolapse,POP)的手术新入路——机器人辅助经阴道腹腔镜阴道骶骨固定术(laparoscopic transvaginal NOTES,LV-NOTES)。方法回顾分析2例2020年7月因POP于贝勒医学院就诊并完成机器人辅助LV-NOTES的病例,并通过分析记录的手术时间、术后短期并发症、术后生活能力恢复情况等综合评估手术效果。结果病例1患者手术时间227 min,病例2患者手术时间257 min。术后24 h拔除尿管后测量膀胱残余尿均正常,膀胱功能正常。术后3、8周随访均未出现术后疼痛、感染等术后短期并发症。POP-Q分度为0度。结论机器人辅助LV-NOTES是一种治疗POP可行、安全、有效的新手术方法,为POP手术提供了新的入路选择方案。Objective To introduce a new surgical approach for the treatment of pelvic organ prolapse(POP),robot-assisted transvaginal laparoscopic sacrocolpopexy.Methods Retrospective analysis was performed on two patients who underwent robot-assisted transvaginal laparoscopic sacrocolpopexy for POP at Baylor College of Medicine in Jul.2020,and the surgical effects were comprehensively evaluated by analyzing the recorded operative time,postoperative short-term complications,and postoperative recovery of living ability.Rerusts The operation took 227 minutes for Case 1 and 257 minutes for Case 2.The bladders’residual urine was normal 24 hours after the catheters were removed and the bladders’function were normal.No postoperative short-term complications,such as postoperative pain and infection were found in the follow-up at 3 weeks and 8 weeks after surgery.And POP-Q indexes are both 0 degrees.ConclusionsRobot-assisted transvaginal laparoscopic sacrocolpopexy is a feasible,safe and effective new surgical method for the treatment of POP,which provides a new option for POP surgical approach.

关 键 词：盆腔器官脱垂 经自然腔道内镜手术 机器人辅助腹腔镜手术 骶骨固定术 

分 类 号：R71[医药卫生—妇产科学]