达芬奇机器人手术系统在子宫内膜癌全面分期术中的应用  

Application of Da Vinci Robotic Surgery System in Comprehensive Staging of Endometrial Cancer

作　　者：汪丽[1] 毛燕[1] WANG Li;MAO Yan(Department of Obstetrics and Gynecology,Gansu Provincial People's Hospital,Lanzhou,Gansu Province,730000 China)

机构地区：[1]甘肃省人民医院妇产科,甘肃兰州730000

出　　处：《世界复合医学》2022年第2期72-75,共4页World Journal of Complex Medicine

摘　　要：目的探讨达芬奇机器人手术系统在子宫内膜癌全面分期手术中的应用价值。方法将2017年1月—2018年12月在该院行全面分期手术的108例子宫内膜癌患者依据不同手术治疗方案分为观察组(行达芬奇机器人手术系统手术,52例)与对照组(行腹腔镜手术,56例)。比较两组手术及恢复指标(手术时间、术中失血量、清扫淋巴结数量、肛门排气时间、尿管留置时间和住院时间)、并发症发生情况与复发率。结果两组手术时间比较,差异无统计学意义(t=0.893,P=0.374),观察组术中失血量(182.51±23.72)mL少于对照组(226.28±30.20)mL,差异有统计学意义(t=8.333,P<0.001),清扫淋巴结数量(29.53±8.12)枚多于对照组(22.67±9.34)枚,差异有统计学意义(t=4.060,P<0.001),肛门排气时间(2.98±0.85)d、尿管留置(4.87±1.56)d和住院时间(8.23±2.05)d均短于对照组(3.47±0.91)、(6.02±1.67)、(9.76±3.11)d,差异有统计学意义(P<0.05)。术后观察组并发症发生率5.77%低于对照组7.14%,差异无统计学意义(χ^(2)=0.010,P=0.919)。定期随访1~2年,两组复发率(5.77%vs 3.57%)差异无统计学意义(χ^(2)=0.007,P=0.932)。结论达芬奇机器人手术系统治疗子宫内膜癌具有损伤小、术后恢复快等优势。Objective To investigate the application value of Da Vinci robotic surgery system in comprehensive staging of endometrial cancer.Methods A total of 108 patients with endometrial cancer who underwent comprehensive staging surgery in the hospital from January 2017 to December 2018 were divided into different groups according to different surgical treatment plans.The observation group(with Da Vinci robotic surgery system,52 cases)and the control group(with laparoscopic surgery,56 cases).The operation and recovery indicators(operation time,intraoperative blood loss,number of dissected lymph nodes,anal exhaust time,urinary catheter indwelling time and hospitalization time),complications and recurrence rates were compared between the two groups.Results There was no significant difference in operation time between the two groups(t=0.893,P=0.374).The intraoperative blood loss in the observation group(182.51±23.72)mL was less than that in the control group(226.28±30.20)mL,the difference was statistically significant(t=8.333,P<0.001).The number of dissected lymph nodes(29.53±8.12)was more than that of the control group(22.67±9.34),the difference was statistically significant(t=4.060,P<0.001),the anal exhaust time(2.98±0.85)d,the urinary catheter indwelling(4.87±1.56)d and hospital stay(8.23±2.05)d were shorter than those in the control group(3.47±0.91)d,(6.02±1.67)d,(9.76±3.11)d,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group after operation 5.77% was lower than that in the control group 7.14%,the difference was not statistically significant(χ^(2)=0.010,P=0.919).There was no statistically significant difference in the recurrence rate between the two groups(5.77%vs 3.57%)during regular follow-up for 1 to 2 years(χ^(2)=0.007,P=0.932).Conclusion The Da Vinci robotic surgery system for the treatment of endometrial cancer has the advantages of less damage and quicker postoperative recovery.

关 键 词：达芬奇机器人手术系统 子宫内膜癌 腹腔镜手术 并发症 

分 类 号：R737.33[医药卫生—肿瘤]