目的：探讨机器人辅助腹腔镜技术在宫颈癌根治术中的可行性和安全性。方法：选取 2019 年 9 月— 2022 年 2 月赣南医科大学第一附属医院行宫颈癌根治术的患者 258 例，其中 86 例患者行达芬奇机器人辅助腹腔镜 手术（机器人组），172 例患者行传统腹腔镜手术（腹腔镜组），分析两组患者围手术期各项指标。结果：与腹腔 镜组比较，机器人组手术时间短、术中出血量少（P<0.05）；机器人组术后首次排气时间、首次进食时间及首次下 床时间、术后平均住院时间、术后尿潴留发生率、腹主动脉旁淋巴清扫数目等均优于腹腔镜组（P<0.05）。两组在 术中尿管肠管损伤、术后淋巴瘘、下肢静脉血栓、肺栓塞、肠梗阻、残端愈合不良、阴道瘘等方面无明显差异（P>0.05）。 结论：机器人辅助腹腔镜下宫颈癌根治术较传统腹腔镜手术有显著优势，其手术时间短，术中累计出血量少，术后 康复时间快。该术式安全可行，是宫颈癌患者可选择的一种手术方式，临床值得推荐。

Objective: To explore the feasibility and safety of robot-assisted laparoscopic surgery in radical hysterectomy for cervical cancer. Methods: A total of 258 patients who underwent radical hysterectomy in the First Affiliated Hospital of Gannan Medical University from September 2019 to February 2022 were selected, including 86 patients in the robotic group and 172 patients in the laparoscopic group. The perioperative indicators of patients in the two groups were analyzed. Results: Compared with the laparoscopic group, the robotic group had shorter operative time and less intraoperative bleeding (P<0.05). The time of first exhausting, first feeding and first getting out of bed, the average length of hospital stay, the incidence  rate of postoperative urinary retention, and the number of dissected paraaortic lymph nodes in the robotic group were better than those in the laparoscopic group (P<0.05). There was no significant difference between the two groups in intraoperative urinary and intestinal injury, postoperative lymphatic fistula, lower extremity venous thrombosis, pulmonary embolism, intestinal obstruction, undesirable healing of stump and vaginal fistula (P>0.05). Conclusion: Robot-assisted laparoscopic radical hysterectomy for cervical cancer has significant advantages over conventional laparoscopic surgery, which has shorter operative time, less intraoperative blood loss and faster postoperative recovery. It can be served as a safe and feasible option to treat cervical cancer, which is worthy of clinical recommendation.

收稿日期：2022-05-20  录用日期：2022-06-14 

Received Date: 2022-05-20  Accepted Date: 2022-06-14 

通讯作者：谢晓英，Email：xiexiaoying603@126.com 

Corresponding Author: XIE Xiaoying, Email: xiexiaoying603@126.com 

引用格式：叶萍，徐玲，周洁莉，等 .达芬奇机器人辅助腹腔镜技术在宫颈癌根治术中的应用（附手术视频）[J]. 机器人外科学杂志（中英文），2024，5（6）：1056-1059. 

Citation: YE P, XU L, ZHOU J L, et al. Application of Da Vinci robot-assisted laparoscopic technique in radical hysterectomy for cervical cancer (with surgical video)[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1056-1059.

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