机器人辅助手术治疗早期宫颈癌患者的临床疗效  

Clinical efficacy of robot-assisted surgery on patients with early cervical cancer

作　　者：万齐鸿 王雨婷 王哲 韩沛林 朱晓旭[1] 应俊[1] 施瑾[1] 胡京辉 钱建华[1] WAN Qihong;WANG Yuting;WANG Zhe;HAN Peilin;ZHU Xiaoxu;YING Jun;SHI Jin;HU Jinghui;QIAN Jianhua(Department of Gynecology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310000,China;Zhejiang University School of Medicine,Hangzhou 310000,China)

机构地区：[1]浙江大学医学院附属第一医院妇科,浙江杭州310000 [2]浙江大学医学院,浙江杭州310000

出　　处：《机器人外科学杂志（中英文）》2023年第5期407-412,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金面上项目(82071665)。

摘　　要：目的:分析机器人辅助手术治疗早期宫颈癌的围手术期结果及肿瘤学结局。方法:回顾性分析2015年6月—2021年7月在浙江大学医学院附属第一医院行机器人辅助手术的64例宫颈癌患者的临床资料。结果:64例患者均顺利完成手术,无中转开腹病例。根据国际妇产科联盟的临床分期标准,其中ⅠA1期伴淋巴脉管间隙浸润(Lymphovascular Space Invasion,LVSI)4例,ⅠA2期4例,ⅠB1期51例,ⅠB2期4例,ⅡA1期1例。所有患者平均手术时间为(310.56±71.22)min,平均术中失血量为(144.53±92.75)ml,平均切除淋巴结数量为(23.11±6.97)个,平均住院时间为(12.27±3.44)d,平均随访时间为(46.48±15.91)个月(3例失访)。总计30例患者接受术后辅助治疗,其中13例接受同步放化疗,15例接受放疗,2例接受化疗。随访至今,共61例患者存活,其中仅1例患者复发。结论:机器人手术系统在宫颈癌手术中的应用有良好的临床疗效,可以作为治疗早期宫颈癌的有效方法。Objective:To analyze the perioperative and oncological outcomes of robot-assisted surgery for early cervical cancer.Methods:The clinical data of 64 patients with cervical cancer underwent robot-assisted surgery in the First Affiliated Hospital,Zhejiang University School of Medicine from June 2015 to July 2021 was retrospectively analyzed.Results:All the surgeries were successfully completed without conversion to open surgery.According to the clinical staging criteria of the International Federation of Gynecology and Obstetrics,there were 4 cases of stage I A1 with Lymphovascular Space Involvement(LVSI),4 cases of stage I A2,51 cases of stage I B1,4 cases of stage I B2,and 1 case of stage II A1.The average operative time was(310.56±71.22)min,the average intraoperative blood loss was(144.53±92.75)ml,the average number of dissected lymph nodes was(23.11±6.97),and the average hospital stay was(12.27±3.44)d.3 cases were lost to follow-up,and the mean follow-up time was(46.48±15.91)months.A total of 30 cases received postoperative adjuvant therapy,including 13 cases of concurrent chemoradiotherapy,15 cases of radiotherapy,and 2 cases of chemotherapy.Up to now,61 cases survived,including 1 case of recurrence.Conclusion:The application of robotic surgical system in cervical cancer has good clinical outcomes,which could be an effective way to treat early cervical cancer.

关 键 词：机器人辅助手术 微创手术 宫颈癌 根治性宫颈切除术 根治性子宫切除术 

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