手术机器人以其特有的优势为妇科恶性肿瘤患者的手术治疗提供了微创入路选择。2021 年 12 月中国 人民解放军总医院第一医学中心妇产科在国内首次应用国产机器人治疗 1 例宫颈鳞癌 IB1 期合并子宫肌瘤 + 子宫内 膜异位症患者。手术采用多孔入路,完成广泛全子宫双侧输卵管切除 + 盆腔淋巴结清扫术,手术进展顺利,总手术 时间 245 min,术中出血量约 50 ml,术后 5 d 拔除导尿管,术后 7 d 患者恢复良好并出院。术后疗效满意,美容效果佳。
With its unique advantages, robotic surgical system provides a minimally invasive surgical approach for the surgical treatment of gynecological malignant tumor. In December 2021, a patient with stage IB1 squamous cell carcinoma complicated with uterine fibroids and endometriosis was treated in the Department of Obstetrics and Gynecology of the First Medical Center of the People’s Liberation Army General Hospital using a domestic surgical robot. Multi-port approach was adopted, robot-assisted total bilateral salpingectomy and pelvic lymph node dissection were completed smoothly, with the total operative time of 245 min and the intraoperative blood loss of 50 ml. The urethral catheter was removed 5 d after surgery, and the patient recovered and discharged from the hospital 7 d after surgery. Good surgical outcomes and cosmetic effect were achieved in this domestic robot-assisted laparoscopic radical hysterectomy.
收稿日期:2022-10-14 录用日期:2023-01-10
Received Date: 2022-10-14 Accepted Date: 2023-01-10
基金项目:中央财政科技计划专项(2017YFC 0110405)
Foundation Item: Special Project of Science and Technology Plans Founded by the Central Government (2017YFC 0110405)
通讯作者:孟元光,Email:meng0612@vip.sina.com
Corresponding Author: MENG Yuanguang, Email: meng0612@vip.sina.com
引用格式:郑文瑾,叶明侠,李立安,等 . 国产手术机器人辅助腹腔镜下宫颈癌根治术:国内首例报告 [J]. 机器人外科学杂志(中 英文),2024,5(2):244-248.
Citation: ZHENG W J, YE M X, LI L A, et al. Domestic robot-assisted laparoscopic radical hysterectomy: the first case report in China [J]. Chinese Journal of Robotic Surgery, 2024, 5(2): 244-248.
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