在盆腔脓肿的治疗中，由于脓肿壁的存在，应用抗生素常难以奏效，且对于多腔隙脓肿，超声穿刺引流的效果也并不 理想。但微创手术在盆腔脓肿的治疗中逐渐显现出其独特的优势。本研究报道了 2023 年 3 月于浙江省人民医院行机器人辅 助腹腔镜下盆腔脓肿清除术患者 1 例。手术过程顺利，手术总用时约 38 min，术中出血 10 mL，术后 6 h 拔除尿管，3 d 拔除 引流管，术后 5 d 患者出院。结果显示机器人辅助腹腔镜手术治疗女性盆腔脓肿安全有效，患者术后恢复快，值得在临床中 进一步推广。

It is often difficult to apply antibiotics to treat pelvic abscesses due to the presence of the abscess wall, and drainage by ultrasonic puncture is not optimal in the case of multilocular abscesses. However, minimally invasive surgery is gradually showing its unique advantages in the treatment of pelvic abscesses. This study reported a patient who underwent robot-assisted laparoscopic pelvic abscess removal in March 2023 at Zhejiang Provincial People’s Hospital. The surgical procedure went smoothly, with a total operative time of about 38 min and intraoperative bleeding of 10 mL. The urinary catheter was removed 6 h after the operation, and the drainage tube was removed 3 days later. The patient was discharged from the hospital 5 days after the operation. The results demonstrate that robot-assisted laparoscopic surgery is safe and effective in treating female pelvic abscesses, which could accelerate patients’ recovery after surgery, and it is worthy of further promotion.

基金项目：浙江省医药卫生科技计划项目 （2017KY199，2018KY240） 

Foundation Item: Medical and Health Technology Plan Project of Zhejiang Province (2017KY199, 2018KY240) 

引用格式：黄璐，沈燕，刘金炜，等 . 机器人辅助腹腔镜下盆腔脓肿清除术一例报道（附手术视频）[J]. 机器人外科学杂志（中英文），2025， 6（2）：345-348. 

Citation: HUANG L, SHEN Y, LIU J W, et al. Robot-assisted laparoscopic pelvic abscess removal: a case report (with surgical video) [J].  Chinese Journal of Robotic Surgery, 2025, 6(2): 345-348. 

通讯作者（Corresponding Author）：刘金炜（LIU Jinwei），Email：zjuljw@163.com

[1] Soper D E, Wiesenfeld H C. The continued challenges in the diagnosis of acute pelvic inflammatory disease: focus on clinically mild disease[J]. The Journal of infectious diseases, 2021, 224(12 Suppl 2): S75-S79. 

[2] Shiqemi D, Matsui H, Fushimi K, et al. Laparoscopic compared with open surgery for severe pelvic inflammatory disease and tubo-ovarian abscess[J]. Obstetrics and gynecology, 2019, 133(6): 1224-1230. 

[3] Sönmezer M, Saçıntı K G, Varlı B, et al. Laparoscopy versus open surgery for the surgical management of tubo-ovarian abscess (TOA). Is there a beneficial impact of early endoscopic intervention in terms of fertility rates [J]. Ginekologia polska, 2023, 94(2): 95-100. 

[4] Sinno A K, Fader A N. Robotic-assisted surgery in gynecologic oncology[J]. Fertility and Sterility, 2014, 102(4): 922-932. 

[5] CHEN L, LIU L P, WEN N, et al. Comparative analysis of robotic vs laparoscopic radical hysterectomy for cervical cancer[J]. World journal of clinical cases, 2019, 7(20): 3185-3193.

[6] Restaino S, Mereu L, Finelli A, et al. Robotic surgery vs laparoscopic surgery in patients with diagnosis of endometriosis: a systematic review and meta-analysis[J]. Journal of robotic surgery, 2020, 14(5): 687-694. 

[7] 中国妇幼保健协会放射介入专业委员会 , 中国医师协会微创医学 专业委员会 , 中华预防医学会生殖健康分会 , 等 . 盆腔脓肿介入治 疗专家共识 (2021 年版 )[J]. 中国实用妇科与产科杂志 , 2021, 37(12): 1214-1219. 

[8] Rigaud V, Wang p, bartalot a, et al. Case of psoas abscess after roboticassisted laparoscopic hysterectomy and pelvic lymphadenectomy[J]. Journal of Minimally Invasive Gynecology, 2018, 25(4): 737-739. 

[9] Jean-Luc B, Bernard C, Bertille D B, et al. Pelvic inflammatory diseases: updated French guidelines[J]. Journal of gynecology obstetrics and human reproduction, 2020, 49(5): 101714. 

[10] CHU L, MA H, LIANG J, et al. Effectiveness and adverse events of early laparoscopic therapy versus conservative treatment for tubo-ovarian or pelvic abscess: a single-center retrospective cohort study[J]. Gynecologic and obstetric investigation, 2019, 84(4): 334-342. 

[11] 陈莉娜 , 陈光恒 . 不同手术时机对盆腔脓肿患者抗感染治疗后腹腔 镜手术疗效的影响 [J]. 临床医学工程 , 2021, 28(12): 1607-1608. 

[12] 宋娟 , 牟燕琳 . 盆腔脓肿腹腔镜手术前不同抗感染治疗时机临床效 果比较 [J]. 中国计划生育学杂志 , 2022, 30(1): 177-180. 

[13] 陶素萍 , 游继红 , 叶小燕 , 等 . 盆腔脓肿腹腔镜手术治疗时机选择探 讨 [J]. 浙江临床医学 , 2014, 16(5): 783-784. 

[14] 潘娜 . 腹腔镜与开腹手术治疗盆腔脓肿临床效果对比 [J]. 临床医药 文献电子杂志 , 2020, 7(30): 64. 

[15] 王倩倩 , 徐海鸥 , 徐婉婉 , 等 . 腹腔镜手术在治疗盆腔脓肿中的疗效 评价 [J]. 浙江创伤外科 , 2017, 22(1): 92-93 

[16] 汪超 , 王育 . 手术机器人在妇科疾病诊疗中的优势和前景展望 [J]. 机 器人外科学杂志 ( 中英文 ), 2021, 2(4): 313-323. 

[17] Truong M, Kim J H, Scheib S, et al. Advantages of robotics in benign gynecologic surgery[J]. Current Opinion in Obstetrics and Gynecology, 2016, 28(4): 304-310. 

[18] 赵影 , 彭存旭 . 达芬奇机器人手术系统在妇科疾病手术中的应用研 究进展 [J]. 济宁医学院学报 , 2020, 43(4): 281-284. 

[19] 邹龄松 , 范江涛 . 机器人辅助手术治疗子宫颈残端癌 1 例报告并文 献复习 [J]. 中国实用妇科与产科杂志 , 2020, 36(3): 287-288. 

[20] Ponce J, Fernández S, Barahona M, et al. Robotic-assisted paraaortic lymphadenectomy: Technique and indications in gynecological oncology[J]. Best Practice & Research Clinical Obstetrics & Gynaecology, 2023, 9(1): 102401.