探讨达芬奇机器人手术系统在妇科手术中的安全性、可行性及临床应用价值。方法：回顾性分析重庆医科大学附属第一医院妇科于 2016 年 2 月 ~2019 年 11 月实施的 606 例妇科良性及恶性疾病患者的临床资料及近期疗效。结果：全部手术均在无中转开腹的情况下顺利完成，其中宫颈恶性肿瘤占 66%（400/606）、子宫内膜恶性肿瘤占 15.02%（91/606）、卵巢恶性肿瘤占 2.64%（16/606），外阴及阴道恶性肿瘤占 0.83%（5/606）。手术时间平均（143.83±43.99） min，术中出血量平均（77.34±63.24）ml，术后肠道功能恢复时间平均（1.90±0.64）d，术后平均住院（6.20±1.49）d，术中并发症发生率为 0.33%。结论：达芬奇机器人手术系统应用于妇科手术在手术时间、术中出血量、术中术后并发症等方面具有一定优势，尤其是在行妇科高难度恶性肿瘤手术中可明显降低术中并发症的发生，具有很好的安全性及可行性。
To explore the safety, feasibility and clinical value of Da Vinci surgical system in gynecological surgery. Methods: The clinical data and short-term effect of 606 women who underwent Da Vinci robotic-assisted laparoscopic surgery due to benign or malignant gynecological disease from February 2016 to November 2019 in gynecology department of the First Affiliated Hospital of Chongqing Medical University were retrospectively analyzed. Results: All surgeries were successfully completed without any conversion, among which cervical cancer accounted for 66% (400/606), endometrial cancer 15.02% (91/606), ovarian cancer 2.64% (16/606), vulva cancer and vagina cancer 0.83% (5/606).The average operative time was (143.83±43.99) min, the average intraoperative blood loss was (77.34±63.24) ml, the average recovery time of intestinal function was (1.90±0.64) d and the average length of postoperative hospital stay was (6.20±1.49) d. Conclusion: Da Vinci surgical system is safe and feasible in gynecological surgery. Furthermore, obvious advantages have been shown in terms of operative time, intraoperative blood loss, intraoperative and postoperative complications in Da Vinci surgical system, especially the intraoperative complications are significantly reduced in complicated gynecological cancer surgery.