经自然腔道机器人辅助单孔腹腔镜治疗宫颈高级别鳞状上皮内病变一例报道  

Single-port robot-assisted natural orifice transluminal endoscopic surgery in treating high-grade squamous intraepithelial lesion:a case report

作　　者：孙大鹏 刘婧[1] 陈捷[1] 訾聃 陈幼琼[1] 乔芳芳 申兵 余航 黄帅 谭寒星[2] SUN Dapeng;LIU Jing;CHEN Jie;ZI Dan;CHEN Youqiong;QIAO Fangfang;SHEN Bing;YU Hang;HUANG Shuai;TAN Hanxing(Operating Room,Guizhou Provincial People’s Hospital,Guiyang 550001,China;Department of Gynecology,Guizhou Provincial People’s Hospital,Guiyang 550001,China)

机构地区：[1]贵州省人民医院手术室,贵州贵阳550001 [2]贵州省人民医院妇科,贵州贵阳550001

出　　处：《机器人外科学杂志（中英文）》2023年第3期277-280,共4页Chinese Journal of Robotic Surgery

基　　金：贵州省科技计划项目([2016]7148)。

摘　　要：本研究报道2022年1月贵州省人民医院应用达芬奇Xi机器人系统辅助下经患者自然腔道治疗宫颈高级别鳞状上皮内病变(High-grade Squamous Intraepithelial Lesion,HSIL)病变1例,手术方法采用经阴道自然腔道内镜手术(Vaginal Natural Orifice Transluminal Endoscopic Surgery,V-NOTES),同时完成全子宫切除+双侧附件切除术。手术进展顺利,总手术时间为110min,术中出血量约30ml,术后6h通气,手术无皮肤表面伤口,术后无需安置引流管,运用快速康复外科理念行日间手术管理,患者次日即可痊愈出院。A case of cervical high-grade squamous intraepithelial lesion(HSIL) treated with single-port robot-assisted(Da Vinci Xi surgical system) natural orifice transluminal endoscopic surgery in Guizhou People's Hospital in January 2022 was reported in this paper.Total hysterectomy and bilateral adnexectomy were performed simultaneously with vaginal natural orifice transluminal endoscopic surgery(V-NOTES).The surgery was completed smoothly with a total operative time of 110min and intraoperative blood loss of 30ml.Ventilation was performed 6h after surgery.No scars left after surgery.The surgery used no drainage tube after surgery.The patient was discharged next day under the concept of day-surgery.

关 键 词：手术机器人 单孔腹腔镜手术 子宫全切术 手术体位 经阴道自然腔道内镜手术 

分 类 号：R608[医药卫生—外科学] R713.4[医药卫生—临床医学]