加速康复外科路径下机器人辅助手术与开腹手术治疗早期宫颈癌的术后并发症及复发率(附手术视频)  

Postoperative complications and recurrence rate of robot-assisted surgery versus open surgery for early-stage cervical cancer under the concept of enhanced recovery after surgery(with surgical video)

作　　者：范爱宁 欧阳玲[1] 倪莎[1] FAN Aining;OUYANG Ling;NI Sha(Department of Obstetrics and Gynecology,Shengjing Hospital of China Medical University,Shenyang 110000,China)

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110000

出　　处：《机器人外科学杂志（中英文）》2024年第6期1088-1093,共6页Chinese Journal of Robotic Surgery

基　　金：辽宁省科技计划联合计划项目(2023021057-JH2/1017)。

摘　　要：目的:比较加速康复外科路径下达芬奇机器人手术系统与开腹手术治疗早期宫颈癌的术后并发症和复发率。方法:纳入2021年12月—2023年1月于中国医科大学附属盛京医院第一妇科病房行宫颈癌根治术的81例患者,其中38例行机器人辅助手术(机器人组),43例行开腹手术(开腹组)。回顾性分析患者临床资料、术后并发症发生率及复发率。结果:机器人组手术用时长于开腹组,术中出血量、术后排气时间、疼痛评分、术后住院时间低于开腹组,切除淋巴结个数多于开腹组,术后远期并发症发生率低于开腹组(P<0.05)。而在术中并发症发生率、术后短期严重并发症发生率、术后复发率方面,两组差异无统计学意义(P>0.05)。结论:本次单中心、回顾性研究结果表明,机器人辅助手术治疗早期宫颈癌与开腹手术具有相同的肿瘤结局,同时在术后并发症和术后生活质量方面表现出优势。Objective:To compare the postoperative complications and recurrence rates between Da Vinci robot-assisted surgery and open surgery for early-stage cervical cancer under the concept of enhanced recovery after surgery(ERAS).Methods:81 patients who underwent radical hysterectomy for cervical cancer in Shengjing Hospital of China Medical University from December 2021 to January 2023 were included,of which 38 cases of robot-assisted surgery were divided into the robotic group and 43 cases of open surgery were divided into the open group.Clinical data,incidence rate of postoperative complications and recurrence rate of patients in the two groups were retrospectively analyzed.Results:The operative time in the robotic group was longer than that in the open group,while the amount of intraoperative bleeding,the time of postoperative exhaust time,the pain score,and the length of hospital stay after surgery were lower than those in the open group.More lymph nodes were dissected in the robotic group than that in the open group,and the incidence rate of long-term complications after surgery was lower than that in the open group(P<0.05).The differences in the incidence rate of intraoperative complications,short-term serious complications,and postoperative recurrence rate between the two groups was not statistically significant(P>0.05).Conclusion:The results of this single-center,retrospective study suggest that robot-assisted surgery for early-stage cervical cancer has the same oncologic outcomes as open surgery.However,it has certain advantages in reducing postoperative complications and improving patients’quality of life after surgery over open surgery.

关 键 词：宫颈癌 机器人辅助手术 宫颈癌根治术 加速康复外科 术后并发症 

分 类 号：R737.33[医药卫生—肿瘤]