机器人辅助腹腔镜下盆腔脓肿清除术一例报道(附手术视频)  

Robot-assisted laparoscopic pelvic abscess removal:a case report(with surgical video)

作　　者：黄璐[1] 沈燕[1] 刘金炜[1] 葛月 高紫菡 HUANG Lu;SHEN Yan;LIU Jinwei;GE Yue;GAO Zihan(Department of Gynecology,Zhejiang Provincial People’s Hospital/People’s Hospital of Hangzhou Medical College,Hangzhou 310014,China;Department of Gynecology and obstetrics,People’s Hospital of Dafang,Bijie 551699,China;Jinzhou Medical University,Jinzhou 121001,China)

机构地区：[1]浙江省人民医院·杭州医学院附属人民医院妇科,浙江杭州310014 [2]贵州省大方县人民医院妇产科,贵州毕节551699 [3]锦州医科大学,辽宁锦州121001

出　　处：《机器人外科学杂志(中英文)》2025年第2期345-348,共4页Chinese Journal of Robotic Surgery

基　　金：浙江省医药卫生科技计划项目(2017KY199,2018KY240)。

摘　　要：在盆腔脓肿的治疗中,由于脓肿壁的存在,应用抗生素常难以奏效,且对于多腔隙脓肿,超声穿刺引流的效果也并不理想。但微创手术在盆腔脓肿的治疗中逐渐显现出其独特的优势。本研究报道了2023年3月于浙江省人民医院行机器人辅助腹腔镜下盆腔脓肿清除术患者1例。手术过程顺利,手术总用时约38 min,术中出血10 mL,术后6 h拔除尿管,3 d拔除引流管,术后5 d患者出院。结果显示机器人辅助腹腔镜手术治疗女性盆腔脓肿安全有效,患者术后恢复快,值得在临床中进一步推广。It is often difficult to apply antibiotics to treat pelvic abscesses due to the presence of the abscess wall,and drainage by ultrasonic puncture is not optimal in the case of multilocular abscesses.However,minimally invasive surgery is gradually showing its unique advantages in the treatment of pelvic abscesses.This study reported a patient who underwent robot-assisted laparoscopic pelvic abscess removal in March 2023 at Zhejiang Provincial People’s Hospital.The surgical procedure went smoothly,with a total operative time of about 38 min and intraoperative bleeding of 10 mL.The urinary catheter was removed 6 h after the operation,and the drainage tube was removed 3 days later.The patient was discharged from the hospital 5 days after the operation.The results demonstrate that robot-assisted laparoscopic surgery is safe and effective in treating female pelvic abscesses,which could accelerate patients’recovery after surgery,and it is worthy of further promotion.

关 键 词：盆腔脓肿 微创手术 机器人辅助手术 

分 类 号：R711.33[医药卫生—妇产科学]