摘要
目的探讨达芬奇机器人手术系统在早期卵巢癌中的应用价值。方法回顾性分析郑州大学第一附属医院2013年10月至2016年8月开展的15例机器人辅助下早期卵巢癌分期手术与20例传统腹腔镜下早期卵巢癌分期手术的患者资料,比较两组患者手术时间、术中出血量、术中切除淋巴结数目、术中及术后并发症、术后排气时间、术后平均住院日等指标。结果两组患者均顺利完成早期卵巢癌全面分期手术。机器人组术中出血量、术后平均住院日均少于传统腹腔镜组,切除淋巴结数目、手术时间大于传统腹腔镜组(P<0.05)。两组术后排气时间差异无统计学意义(P>0.05)。病理结果显示:机器人组8例浆液性囊腺癌,3例黏液性囊腺癌,3例交界性囊腺瘤,1例未成熟性畸胎瘤。传统腹腔镜组12例浆液性囊腺癌,5例黏液性囊腺癌,2例交界性囊腺瘤,1例颗粒细胞瘤。两组均无中转开腹,均无术中、术后并发症发生。结论达芬奇机器人手术系统在早期卵巢癌分期手术中的临床应用安全可行,具有一定的优越性,可成为早期卵巢癌分期手术的新选择。
Objective To investigate the application value of Da Vinci robotic- assisted laparoscopic operation in the early stage of ovarian carcinoma. Methods A retrospective analysis was performed in 15 paitents in the early stage of ovarian carcinoma receiving Da Vinci robotic operation and another 20 patients undergoing surgery by the traditional lap- aroscope in the First Affiliated Hospital of Zhengzhou University from October 2013 to August 2016;compare the dura- tion of operation, volume of intraoperative bleeding, number of resected lymph node, intraoperative and postoperative complications, postoperative anal exhaust time, the average hospitalization days between the two groups.Results The surgery in the two groups was all performed successfully. The volume of intraoperative bleeding and average hospitaliza- tion days of Da Vinci robotic laparoscopic group were less than the traditional laparoscopic group; the number of resected lymph nodes and duration of operation were more than the traditional laparoscopic group （P〈0.05）. There was no statisti- cal significance between the two groups in the postoperative anal exhaust time （P〉0.05）. The pathological results showed： the robotic- assisted surgery group had 8 cases of serous cystadenocarcinoma, 3 cases of mucinous cystadenocar- cinoma, 3 cases of borderline cystadenoma and 1 case of immature teratoma. Traditional laparoscopic group had 12 cases of serous cystadenocarcinoma, 5 cases of mucinous cystadenocarcinoma, 2 cases of borderline cystadenoma and 1 case of granulosa cell tumor. There was no case turning to open surgery in both groups, and no intraoperative or postoperative complications occurred.Conclusion Robotic-assisted laparoscopic surgery is superior to the traditional laparoscopic surgery in ovarian cancer at early stage operation, which is expected to become the new choice of operation for ovary cancer.
作者
许鹏琳
纪妹
赵曌
李悦
帅瑜
黄路遥
张警方
李琪
XU Peng-lin JI Mei ZHAO Zhao LI Yue SHUAI Yu HUANG Lu-yao ZHANG Jing-fang LI Qi.(Department of Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Chin)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2017年第10期1077-1079,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
达芬奇机器人
传统腹腔镜
早期卵巢癌分期手术
Da Vinci robotic-assisted surgery
traditional laparoscopic operation
surgical staging for early stage of ovari- an cancer
