摘  要 目的：对比并探讨达芬奇机器人手术系统与传统腹腔镜手术在子宫内膜癌手术治疗中的安全性、有 效性，并进行自我效能分析。方法：回顾性分析 2015 年 9 月 ~2020 年 1 月上海交通大学医学院附属仁济医院妇产 科收治的同一术者进行初始手术治疗的 137 例子宫内膜恶性肿瘤患者，其中达芬奇机器人组 64 例，腹腔镜组 73 例。 统计分析两组患者手术时间、术中出血量、淋巴结切除数目、术后肛门排气时间、术后引流放置时间、住院时间、 术后自我效能评价。结果：达芬奇机器人组和腹腔镜组比较，患者手术时间、术中出血量、术后肛门排气时间、术后引流放置时间、住院时间差异有统计学意义（P<0.05）；清扫淋巴结数量无差异（P>0.05）。且达芬奇机器人组 较腹腔镜组患者术后自我效能感评估更佳（P=0.001）。结论：对于子宫内膜癌的手术治疗，达芬奇机器人手术系统 较传统腹腔镜手术能够缩短患者恢复时间，在保证手术安全性下可以提高有效性。且达芬奇机器人较腹腔镜手术治 疗子宫内膜恶性肿瘤患者术后自我效能感更佳，更利于子宫内膜癌患者术后心理康复。

     Objective: To compare the clinical effectiveness and safety of Da Vinci robotic system and laparoscopic surgery in the treatment of endometrial carcinoma. Methods: 137 patients with endometrial cancer in obstetrics and gynecology department of Renji Hospital from September 2015 to January 2020 were selected, of which 64 cases underwent Da Vinci robotic surgery (Robotic group) and 73 cases underwent laparoscopic surgery (laparoscopic group). The basic information, data of operation index and postoperative self-efficacy of all cases were collected and analyzed. Results: Comparing to laparoscopic group, the robotic group showed significant advantages in respect to operative time, blood loss, hospital stay and self-efficacy, the difference was statistically significant. No significant differences between the two groups were found on lymph node dissection (P> 0.05). Conclusion: Da Vinci robotic surgery offers a feasible, effective and safe alternative in the surgical treatment of endometrial cancer. Compared with laparoscopic surgery, Da Vinci robot-assisted surgery shows better self-efficacy and faster psychological recovery after surgery of endometrial carcinoma.

收稿日期：2020-06-22 录用日期：2020-09-17

Received Date: 2020-06-22  Accepted Date: 2020-09-17 

基金项目：上海申康医院发展中心三年行动计划课题（16CR2012A） Foundation Item: Three-Year Action Plan of the Program of Shanghai Hospital Development Center for Promoting Clinical Skills and Innovative Ability of Municipal Hospitals (16CR2012A)

通讯作者：王育，Email： renjiwangyu@126.com 

Corresponding Author: WANG Yu,  Email:  renjiwangyu@126. com

引用格式：李毓，金悦，汪超，等 . 达芬奇机器人系统与腹腔镜在子宫内膜癌手术治疗中的对比分析 [J]. 机器人外科学杂志， 2021，2（2）：77-83. Citation: LI Y,  JIN Y, WANG C, et al.  Comparative study on robot-assisted and laparoscopic surgery in endometrial cancer [J]. Chinese Journal of Robotic Surgery,  2021, 2(2):77-83.

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