机器人外科学杂志（中英文）2024，Vol.5Issue(2)：166-171,6.DOI:10.12180/j.issn.2096-7721.2024.02.009
免举宫技术用于机器人辅助宫颈癌根治术的影响因素分析
Analysis of influencing factors on robot-assisted radical hysterectomy for cervical cancer without uterine manipulator
摘要
Abstract
Objective:To study the clinical effect of robot-assisted radical hysterectomy without using uterine manipulator for cervical cancer and analyze the influencing factors of postoperative recurrence.Methods:248 patients with cervical cancer who underwent robot-assisted hysterectomy in our hospital from February 2017 to February 2022 were selected as research objects.All selected patients were divided into the observation group and the control group according to different surgical methods.The observation group was treated with robot-assisted radical hysterectomy by suspending the uterus without using uterine manipulator,while the control group was assisted with uterine manipulator during the operation.The surgical treatment and postoperative complication rate of the two groups were analyzed retrospectively,the postoperative recurrence rate was compared and the related factors influencing postoperative recurrence were analyzed with multivariable logistic regression model.Results:There were no significant difference between the two groups in the amount of bleeding,drainage volume,operative time and tumor pathological classification(P>0.05).The length of hospital stay in the observation group was significantly shorter than that in the control group,and the RFS(Relapse-free Survival)rate of the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference between the two groups in the time of first exhaust and the incidence of postoperative complications(P>0.05).The multivariable logistic regression model analysis result showed that the deep invasion of cervical stroma and pelvic lymph node metastasis were high risk factors for postoperative recurrence,the surgical skill of suspending the uterus without the use of uterine manipulator(P<0.001)was a protective factor for postoperative recurrence.Conclusion:The application of robot-assisted radical hysterectomy without using uterine manipulator for cervical cancer has a significant clinical effect,which could reduce the recurrence rate after surgery.The deep invasion of cervical stroma and pelvic lymph node metastasis could significantly increase the risk of recurrence.关键词
宫颈癌根治术/机器人辅助手术/举宫器/免举宫技术/手术后并发症/复发Key words
Radical Hysterectomy/Robot-assisted Surgery/Uterine Manipulator/Technology without Uterine Manipulator/Postoperative Complication/Recurrence分类
医药卫生引用本文复制引用
赵宏喜,李荣,杨二姣,杨晓喆,高晶,潘珍妮,李艳红,郭琳,刘菲,徐妮妮,张蓓蕾,杨潇,卢林杉,苗卓,何海燕..免举宫技术用于机器人辅助宫颈癌根治术的影响因素分析[J].机器人外科学杂志（中英文）,2024,5(2):166-171,6.基金项目
陕西省卫生健康科研项目(2022D063) Shaanxi Provincial Health Research Program(2022D063) （2022D063）
