机器人外科学杂志（中英文）2024，Vol.5Issue(2)：178-185,8.DOI:10.12180/j.issn.2096-7721.2024.02.011
新辅助化疗后机器人辅助与开腹手术治疗局部晚期子宫颈癌术后生存影响因素的对比分析
Comparative analysis of the influencing factors on postoperative survival between robotic surgery and conventional laparotomy for locally advanced cervical cancer after neoadjuvant chemotherapy
摘要
Abstract
Objective:To explore the differences of postoperative survival between patients underwent robot-assisted laparoscopic surgery and conventional laparotomy for locally advanced cervical cancer after neoadjuvant chemotherapy.Methods:A retrospective study was performed on 76 patients with cervical cancer who were treated in the Department of Gynecology,the First Affiliated Hospital of Nanchang University from January 2016 to December 2016.Among which,38 patients underwent robot-assisted laparoscopic radical hysterectomy and pelvic lymph node dissection after neoadjuvant chemotherapy were divided into the study group,and 38 patients who were treated with conventional laparotomy after neoadjuvant chemotherapy into the control group.There was part of patients underwent para-aortic lymph node sampling in both groups.Results:There was no difference in terms of the general clinical characteristics between the two groups,but significant differences on surgical quality evaluation indicators were found between the two groups(P<0.05).There was no significant difference in pathological prognostic factors,disease-free survival,overall survival,3-year survival rate,and 5-year survival rate(P>0.05).Doing chemoradiotherapy or not after surgery was an independent prognostic risk factor.Conclusion:For patients with locally advanced cervical cancer,robot-assisted surgery has better evaluation of surgical quality after surgery than the conventional laparotomy,but no significant difference was found in terms of pathological prognostic factors and postoperative survival between the two ways.关键词
子宫颈癌/机器人辅助手术/开腹手术/总生存期/无病生存期Key words
Cervical Cancer/Robot-assisted Surgery/Laparotomy/Overall Survival/Disease-free Survival分类
医药卫生引用本文复制引用
周潇妮,唐旭秀,蔡丽萍,涂春华,张智,张琦玲,肖子文,赵娜..新辅助化疗后机器人辅助与开腹手术治疗局部晚期子宫颈癌术后生存影响因素的对比分析[J].机器人外科学杂志（中英文）,2024,5(2):178-185,8.基金项目
江西省自然科学基金(20192ACBL20038) （20192ACBL20038）
江西省科技计划重大项目(20152ACG70022) Natural Science Foundation of Jiangxi Province(20192ACBL20038) （20152ACG70022）
Major Science and Technology Project of Jiangxi Province(20152ACG70022) （20152ACG70022）
