机器人辅助乳腺癌腋窝淋巴结清扫术的初步探索(附手术视频)  

Early experience of robot-assisted axillary lymph node dissection for breast cancer(with surgical video)

作　　者：陈阔 吕鹏威[1] CHEN Kuo;LYU Pengwei(Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,河南郑州450052

出　　处：《机器人外科学杂志(中英文)》2025年第2期349-354,共6页Chinese Journal of Robotic Surgery

摘　　要：目的:探讨与评估对乳腺癌患者进行机器人辅助腋窝淋巴结清扫术(RALND)的可行性和安全性。方法:回顾性分析郑州大学第一附属医院乳腺外科于2021年3月-2024年3月完成机器人辅助下保留乳头乳晕乳腺切除术联合假体即刻乳房重建术(R-NSM-IBR)且需要进行腋窝淋巴结清扫术的60例乳腺癌患者的临床资料,将患者分为两组,每组30例,对照组行传统腋窝淋巴结清扫术(CALND),研究组采用达芬奇机器人Xi手术系统行RALND。分析两组患者的临床病理特征和手术结果数据。结果:两组患者一般资料比较差异无统计学意义。研究组患者手术时间略长于对照组,但两组患者手术时间、腋窝淋巴结阳性数目以及术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:就早期手术效果而言,RALND安全可行,与CALND临床效果相当。Objective:To explore and evaluate the feasibility and safety of robot-assisted axillary lymph node dissection(RALND)in patients with breast cancer.Methods:60 breast cancer patients who underwent robot-assisted nipple-sparing mastectomy and immediate axillary lymph node reconstruction(R-NSM-IBR)with the requiement of axillary lymph node dissection in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed.They were divided into the control group and the study group according to different surgical methods,with 30 cases in each group.The control group were treated with conventional axillary lymph node dissection(CALND)and the study group underwent RALND using the Da Vinci Xi Robotic Surgical System.The clinicopathological characteristics and surgical outcomes of the two groups were analyzed.Results:There was no statistically significant difference in the general data of the two groups.The operative time in the study group was slightly longer than that of the control group,but the differences in the operative time,the number of positive axillary lymph node,and the incidence of postoperative complications of the two groups were not statistically significant(P>0.05).Conclusion:In terms of early surgical outcomes,RALND is safe and feasible,and is comparable to CALND with respect to clinical outcomes.

关 键 词：乳腺癌 机器人辅助手术 淋巴结清扫术 腋窝 

分 类 号：R737.9[医药卫生—肿瘤]