Si 级达芬奇机器人辅助单孔腹腔镜与普通单孔腹腔镜在早期子宫内膜癌治疗中的对照研究

摘要/Abstract

对通过应用 Si 级机器人辅助单孔腹腔镜及普通单孔腹腔镜治疗早期子宫内膜癌的临床疗效进行对照分析。方法：回顾性分析因早期子宫内膜癌在上海长征医院实施机器人辅助单孔腹腔镜的 28 例患者及普通单孔腹腔镜下子宫内膜癌分期手术的 32 例患者的临床资料，并结合文献进行分析。结果：所有病例均成功实施单孔机器人辅助单孔腹腔镜和普通单孔腹腔镜下早期子宫内膜癌分期手术，无 1 例另行辅助穿刺孔，无 1 例中转开腹。机器人辅助单孔腹腔镜组手术时间（178.32±17.75）min，普通单孔腹腔镜组手术时间（194.51±23.16）min；机器人辅助单孔腹腔镜组术中出血量（122.96±10.37）ml，普通单孔腹腔镜组术中出血量（147.26±15.19）ml。两组患者术中输血情况及术中脏器损伤无明显差异。结论：Si 级机器人辅助单孔腹腔镜可以完成早期子宫内膜癌分期手术，其手术时间及术中出血情况优于普通单孔腹腔镜下的子宫内膜癌分期手术，两种手术方法均是早期子宫内膜癌的有效手术方法。

To compare the clinical effect of Da Vinci Si robot-assisted single site surgery and laparoendoscopic single site surgery on treating early endometrial carcinoma. Methods: The clinical data of 28 patients with early endometrial cancer who underwent robot-assisted single site surgery(RASS group) and 32 patients underwent laparoendoscopic single site surgery(LESS group) were analyzed retrospectively. Results: All surgeries were successfully completed. No additional puncture hole was made or conversion to laparoseopic surgery occurred. The operation time was 178.32±17.75 minutes (RASS group) Vs 194.51±23.16 minutes (LESS group), the intraoperative bleeding volume was 122.96±10.37 ml (RASS group) Vs 147.26±15.19ml (LESS group). There was no significant difference in blood transfusion and organ injury between the two groups. Conclusion: Da Vinci Si robot-assisted single site surgery could be adopted to treat early endometrial cancer with less operation time and intraoperative bleeding than laparoendoscopic single site surgery. The two approaches are both effective and feasible to treat early endometrial cancer.

稿件信息

参考文献

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