目的：比较机器人辅助腹腔镜手术与传统腹腔镜手术治疗妇科良恶性肿瘤的临床疗效，探讨机器人 辅助手术的利弊。方法：选择 2020 年 5 月—2022 年 3 月在常州市第一人民医院妇科接受达芬奇机器人辅助腹腔镜 手术的 46 例患者作为研究组，随机筛选出同时间段接受传统腹腔镜手术的 46 例患者作为对照组。采集两组患者的 基本信息及围手术期的观察指标后进行统计分析。结果：两组患者的基本资料（年龄、身体质量指数、基础疾病、 既往手术史、疾病类型）比较，差异均无统计学意义（P>0.05）。两组患者术中及术后各项指标（手术时间、术中 出血量、术后排气时间、腹腔 24 h引流量、术后住院时间、抗生素升级率及疼痛评分）比较，差异有统计学意义（P<0.05）。 两组淋巴清扫数目比较，差异无统计学意义（P>0.05）。结论：达芬奇机器人辅助腹腔镜技术可以在妇科良性和早 期恶性肿瘤等疾病中广泛开展，其短期疗效结果优于传统腹腔镜手术。

Objective: To compare the clinical efficacy of Da Vinci robot-assisted laparoscopic surgery and conventional laparoscopic surgery in the treatment of gynecological benign and malignant tumors, and to explore the advantages and disadvantages of Da Vinci robot-assisted laparoscopic surgery. Methods: 46 patients who underwent Da Vinci robot-assisted laparoscopic surgery from May 2020 to March 2022 in the Department of Gynecology, Changzhou First People’s Hospital (The Third Affiliated Hospitals of Soochow University)were selected into the study group, and 46 patients who received the conventional laparoscopic surgery under the same scope of surgery during the same period were randomly selected into the control group. Basic information and perioperative observation indexes of patients in the two groups were collected for statistical analysis. Results: No significant differences on the basic information (age, body mass index, underlying diseases, past surgical history and disease types) of patients between the two groups were found (P>0.05). Intraoperative and postoperative indicators (operative time, intraoperative blood loss, postoperative exhaust time, abdominal drainage in 24 hours, postoperative length of stay, antibiotic escalation rate and pain score) of the two groups of patients were compared, and the differences were statistically significant (P<0.05). However, no statistically significant difference (P>0.05) was found on the number of lymph node dissection between the two groups. Conclusion: After initial exploration in our center, it was found that Da Vinci robot-assisted laparoscopic technology could be widely applied in gynecological benign diseases and early malignant tumors. Da Vinci robotassisted laparoscopic surgery showed superiority over conventional laparoscopic surgery on short-term efficacy.

收稿日期：2022-04-01  录用日期：2022-11-24 

Received Date: 2022-04-01  Accepted Date: 2022-11-24 

基金项目：常州市卫生和计划生育委员会科技项目（201807） 

Foundation Item: Science and Technology Project of Changzhou Health and Family Planning Commission (201807) 

通讯作者：芮小慧，Email：ruixiaohui1@126.com 

Corresponding Author: RUI Xiaohui, Email: ruixiaohui1@126.com 

引用格式：李道云，徐云，芮小慧 . 机器人辅助腹腔镜手术在妇科疾病中的应用 [J]. 机器人外科学杂志（中英文），2023，4（6）： 540-548. 

Citation: LI D Y, XU Y, RUI X H. Application of robot-assisted laparoscopic surgery in gynecological diseases[J]. Chinese Journal of Robotic Surgery, 2023, 4(6): 540-548.

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