达芬奇机器人辅助腹腔镜与传统腹腔镜宫颈癌根治术的早期临床分析

Early clinical analysis of Da Vinci robot assisted laparoscopic surgery and traditional laparoscopic surgery on radical surgery of cervical cancer

摘要:

目的：分析达芬奇机器人辅助腹腔镜与传统腹腔镜2种手术入路的宫颈癌根治术患者的临床资料，以探讨达芬奇机器人辅助腹腔镜手术系统应用于宫颈癌根治术的优势。方法：回顾性分析重庆医科大学附属第一医院2018年1月至2018年10月收治的115例分别接受达芬奇机器人辅助腹腔镜宫颈癌根治术（机器人组，n=50）与传统腹腔镜宫颈癌根治术（传统腹腔镜组，n=65）的宫颈癌住院患者相关临床资料，比较2组患者的手术评价指标及膀胱功能评价指标。结果：机器人组的手术时间、术中出血量、术中补液量及术后住院日均低于传统腹腔镜组（P<0.05），机器人组的留置尿管时间长于传统腹腔镜组（P<0.05），但2组患者的术中输血情况、尿管重置率及术后近期（≤术后6个月）泌尿系统并发症的发生情况无统计学差异（P>0.05）。结论：达芬奇机器人辅助腹腔镜与传统腹腔镜手术对于宫颈癌根治术患者的膀胱功能康复虽无统计学差异，但达芬奇机器人辅助腹腔镜宫颈癌根治术的手术时间更短，出血量更少，术后住院时间更短，值得临床上进一步研究、应用。

Abstract:

Objective：To investigate advantages of the Da Vinci robot assisted laparoscopic surgery on radical surgery of cervical can－cer by analyzing clinical data of patients with cervical cancer received radical surgery performed by DaVinci robot assisted laparoscopy and traditional laparoscopic surgery. Methods：Clinical data of 115 patients with cervical cancer admitted to our hospital from January 2018 to October 2018 were retrospectively analyzed. Patients who underwent Da Vinci robot assisted laparoscopic surgery were classi－fied into robot group（n=50），and others were classified into traditional laparoscopic group（n=65）. Evaluation indexes of surgery and bladder function in two groups were compared. Results：The time of operation，the amount of bleeding，intraoperative fluid infusion and postoperative hospitalization time in the robot group were significantly lower than those in the traditional laparoscopic group（P<0.05）. Time of retained ureter in the robot group was longer than that in the traditional laparoscopic group（P<0.05）. There was no significant difference in intraoperative blood transfusion，ureteral replacement and short-time（≤ postoperative six months） urinary system complications after operation（P>0.05）. Conclusion：There is no significant difference in rehabilitation of bladder function between Da Vinci robot assisted laparoscopic surgery and traditional laparoscopic surgery in patients with cervical cancer，but the Da Vinci robot assisted laparoscopic surgery has shorter operation time，less bleeding amount，and shorter postoperative hospitalization time.