比较机器人辅助腹腔镜与传统腹腔镜宫颈癌手术患者的临床资料，探讨机器人辅助腹腔镜手 术的安全性、可行性以及优势。方法：回顾性分析 2016 年 2 月 ~2019 年 11 月重庆医科大学附属第一医院妇科同期 行机器人辅助腹腔镜宫颈癌手术 400 例患者（R 组）和传统腹腔镜宫颈癌手术 376 例患者（L 组）的临床资料，比 较研究两组患者的基线特征、手术时间、术中出血量、术后首次排气时间、术后住院日、淋巴结切除数目、术中及 术后并发症等。结果：R 组的术中失血量少于 L 组 [（87.02±71.88）ml Vs（123.28±93.87）ml］、术后首次肛门排 气时间短于 L 组［（1.90±0.64）d Vs（2.05±0.69）d］、术后住院时间短于 L 组 [（6.57±1.20）d Vs（8.51±2.55）d］， 淋巴结清扫数目多于 L 组 [（35.84±15.16）枚 Vs（27.33±10.63）枚 ]，差异均有统计学意义（P<0.05）。两组手术时间、 术中及术后并发症比较，差异均无统计学意义（P>0.05）。结论：机器人辅助腹腔镜宫颈癌手术具有淋巴结切除数目多、 术中出血少、肛门排气时间早、术后住院时间短等优势，可见机器人手术在宫颈癌的治疗中是安全可行的。同时达 芬奇机器人系统在放化疗未控、晚期局部复发转移、早期保留生育功能、局部晚期等高难度的宫颈癌手术方面具有 优势。

To explore the safety, feasibility and other advantages of robot-assisted laparoscopic radical hysterectomy over traditional laparoscopic radical hysterectomy in treatment of cervical cancer. Methods: The clinical data of 400 patients who underwent robot-assisted laparoscopic radical hysterectomy (R group) and 376 patients who underwent traditional laparoscopic radical hysterectomy (L group) from February 2016 to November 2019 in the First Affiliated Hospital of Chongqing Medical University were retrospectively analyzed. The baseline characteristics, operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative hospital stay, the number of dissected lymph nodes, intraoperative and postoperative complications, etc. were compared and analyzed between two groups. Results: The intraoperative blood loss of R group is significantly less than L group [(87.02±71.88) ml Vs (123.28±93.87) ml] (P<0.05). Comparing with L group, postoperative anal exhaust time [(1.90±0.64) d Vs (2.05±0.69) d] and postoperative hospital stay [(6.57±1.20) d Vs (8.51±2.55) d] were significantly shorter in R group (P<0.05), number of dissected lymph nodes [(35.84±15.16) Vs (27.33±10.63) ] were significantly more in R group (P<0.05).There were no significant differences in the operative time, intraoperative and postoperative complications between two groups (P>0.05). Conclusion: With more number of dissected lymph nodes, less intraoperative blood loss, shorter anal exhaust time and postoperative hospital stay, robot-assisted laparoscopic radical hysterectomy is safe and feasible. Meanwhile, robotic surgery is also superior to traditional laparoscopy in complicated cervical cancer surgeries, such as failing to control after radiotherapy and chemotherapy, local recurrence and metastasis in advanced stage, preserve the fertility in early stage, as well as locally advanced cervical cancer.

收稿日期：2020-02-18  录用日期：2020-05-25 

Received Date: 2020-02-18  Accepted Date: 2020-05-25 

基金项目：重庆市科委项目（cstc2015shmszx120085） 

Foundation Item: Scientific and Technological project of Chongqing Municipality (cstc2015shmszx120085) 

通讯作者：唐均英，Email：tangjy_cqmu@sina.com Corresponding 

Author: TANG Junying, Email: tangjy_cqmu@sina.com 

引用格式：李津津，欧阳熙坪，龚雪，等 . 机器人辅助腹腔镜与传统腹腔镜宫颈癌手术的临床对比研究 [J]. 机器人外科学杂志， 2020，1（3）：166-173. 

Citation: LI J J, OUYANG X P, GONG X, et al. Clinical comparison between traditional and robot-assisted laparoscopic radical hysterectomy in treatment of cervical cancer[J]. Chinese Journal of Robotic Surgery,2020,1(3):166-173

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