目的：探讨达芬奇机器人 Xi 系统辅助单孔腹腔镜手术在治疗妇科良性疾病中的安全性及可行性。 方法：回顾性分析 2020 年 11 月—2021 年 12 月因妇科良性疾病在西安国际医学中心医院行达芬奇机器人 Xi 系 统辅助单孔腹腔镜手术的 45 例患者和行腹腔镜手术的 66 例患者临床资料，比较两组患者的围手术期相关指标。 结果：111 例患者均成功完成手术，术中无盆腔器官的损伤，未增加手术切口。单孔机器人组和腹腔镜组患者在手 术时间、术中估计失血量、术中输血情况、手术前后血红蛋白差值、术后排气时间、尿管拔出时间、术后住院时 间及围手术期并发症发生率等方面差异无统计学意义（P>0.05）。对比两组患者术后 24h 数字疼痛评分（Numeric  Rating Scale，NRS），差异有统计学意义（P<0.05）。结论：达芬奇机器人 Xi 系统辅助单孔腹腔镜手术用于妇科良 性疾病的治疗是可行、安全的，且能有效地减少患者术后疼痛，但仍需更大样本量的研究进一步验证该结果。

Objective: To evaluate the safety and feasibility of Da Vinci Xi single-port robot-assisted laparoscopic  surgery in the treatment of gynecological benign diseases. Methods: The clinical data of 45 patients who underwent Da Vinci  Xi single-port robot-assisted laparoscopic surgery and 66 patients who underwent laparoscopic surgery in Xi’an International  Medical Center Hospital from November 2020 to December 2021 were retrospectively analyzed, and the perioperative  indexes of the two groups were compared. Results: All surgeries were successfully completed without pelvic organ injury or  additional surgical incision. No significant differences on operative time, estimated intraoperative blood loss, intraoperative  blood transfusion, preoperative and postoperative hemoglobin difference, postoperative exhaust time, catheter extraction  time, postoperative hospital stay and perioperative complications were found between the two groups (P>0.05). However, the  difference was statistically significant on Numeric Rating Scale (NRS) between the two groups 24 hours after surgery (P<0.05).  Conclusion: Da Vinci Xi single-port robot-assisted laparoscopic surgery in the treatment of gynecological benign diseases is  feasible and safe. Compared with the laparoscopic surgery, it has less postoperative pain, but a large-sample prospective study  were needed to further confirm this result.

收稿日期：2021-11-22  录用日期：2022-12-14 

Received Date: 2021-11-22  Accepted Date: 2022-12-14 

通讯作者：王海琳，Email：Wanghailinyx@163.com 

Corresponding Author: WANG Hailin, Email: Wanghailinyx@163.com 

引用格式：赵晶，王海琳，孙亮亮，等 . 达芬奇机器人 Xi 系统辅助单孔腹腔镜手术在妇科良性疾病中的应用分析 [J]. 机器人外科学杂志（中英文），2023，4（4）：343-349. 

Citation: ZHAO J, WANG H L, SUN L L, et al. Application of Da Vinci Xi single-port robot-assisted laparoscopic surgery in benign gynecological diseases [J]. Chinese Journal of Robotic Surgery, 2023,4(4): 343-349.

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