本研究报道 2022 年 1 月贵州省人民医院应用达芬奇 Xi 机器人系统辅助下经患者自然腔道治疗宫颈高 级别鳞状上皮内病变（High-grade Squamous Intraepithelial Lesion，HSIL）病变 1 例，手术方法采用经阴道自然腔道内 镜手术（Vaginal Natural Orifice Transluminal Endoscopic Surgery，V-NOTES），同时完成全子宫切除 + 双侧附件切除术。 手术进展顺利，总手术时间为 110min，术中出血量约 30ml，术后 6h通气，手术无皮肤表面伤口，术后无需安置引流管， 运用快速康复外科理念行日间手术管理，患者次日即可痊愈出院。

A case of cervical high-grade squamous intraepithelial lesion (HSIL) treated with single-port robot-assisted (Da Vinci Xi surgical system) natural orifice transluminal endoscopic surgery in Guizhou People’s Hospital in January 2022 was reported in this paper. Total hysterectomy and bilateral adnexectomy were performed simultaneously with vaginal natural orifice transluminal endoscopic surgery (V-NOTES). The surgery was completed smoothly with a total operative time of 110min and intraoperative blood loss of 30ml. Ventilation was performed 6h after surgery. No scars left after surgery. The surgery used no drainage tube after surgery. The patient was discharged next day under the concept of day-surgery.

收稿日期：2022-03-07  录用日期：2022-08-28 

Received Date: 2022-03-07  Accepted Date: 2022-08-28 

基金项目：贵州省科技计划项目（[2016]7148）

Foundation Item: Science and Technology Program of Guizhou Province ([2016]7148) 

通讯作者：刘婧，Email：307011674@qq.com 

Corresponding Author: LIU Jing, Email: 307011674@qq.com 

引用格式：孙大鹏，刘婧，陈捷，等 . 经自然腔道机器人辅助单孔腹腔镜治疗宫颈高级别鳞状上皮内病变一例报道 [J]. 机器人外科 学杂志（中英文），2023，4（3）：277-280. 

Citation: SUN D P, LIU J, CHEN J, et al. Single-port robot-assisted natural orifice transluminal endoscopic surgery in treating high-grade squamous intraepithelial lesion: a case report [J]. Chinese Journal of Robotic Surgery, 2023, 4(3): 277-280.

[1] 孙静 , 隋孟松 . 经阴道自然腔道内镜手术在妇科 良性疾病中的应用 [J]. 中国实用妇科与产科杂志 , 2019, 35(12): 1315-1318. 

[2] 谢玲玲 , 李希聪 , 李云龙 . 广泛性全子宫切除术和全 子宫加双侧附件切除术治疗Ⅰ期子宫内膜癌临床效 果的比较分析 [J]. 实用癌症杂志 , 2021, 36(10): 1715- 1717. 

[3] 李子刚 , 伍东月 . 机器人辅助与传统单孔腹腔镜手 术在妇科领域的应用 [J]. 机器人外科学杂志 ( 中英 文 ), 2021, 2(5): 347-355. 

[4] 刘艳燕 , 易跃雄 , 张蔚，等 . 第四代达芬奇机器人 Xi 系统辅助单孔和多孔腹腔镜治疗妇科良性疾病 围手术期效果分析 [J]. 中国实用妇科与产科杂志 , 2021, 37(6): 679-682. 

[5] 高晨曦 , 李丰鑫 , 田东立，等 . 达芬奇机器人辅助 下单孔腹腔镜手术在妇科领域的应用和发展前景 [J]. 实用妇产科杂志 , 2020, 36(6): 436-439. 

[6] Bentivegna E, Koual M, Nguyer-Xuan H T, et al. Docking for robotic extraperitoneal para-aortic lymphadenectomy with Da Vinci Xi surgical system[J]. J Gynecol Obstet Hum Reprod, 2021, 50(8): 102131. 

[7] Nakayama K, Yoshimura Y, Razia S, et al.Single-port laparoscopic surgery for ovarian cystectomy: a singlecenter analysis of 25 cases[J].Mol Clin Oncol, 2021, 15(2): 160. 

[8] Metsker O, Kopanitsa G, Malushko A, et al. Gynecological surgery and machine learning: complications and length of stay prediction[J]. Stud Health Technol Inform, 2021. DOI: 10.3233/SHTI210236. 

[9] HUANG X T, JI M, ZHAO Z, et al. Analysis of perioperative complications and influencing factors of complications in 1 000 cases of robotic gynecological surgery[J].Zhonghua Fu Chan Ke Za Zhi, 2021, 56(5): 341-348. 

[10] Vanhooren E, Baekelandt J.Vaginal NOTES surgery in patients with prior hysterectomy: a first case series[J]. Asian J Endosc Surg, 2021, 14(4): 811-815.