机器人外科学杂志（中英文）2024，Vol.5Issue(3)：319-326,8.DOI:10.12180/j.issn.2096-7721.2024.03.003
达芬奇机器人辅助下单孔与多孔腹腔镜手术治疗早期子宫内膜癌的疗效对比
Comparison of clinical efficacy of Da Vinci robot-assisted single-port and multi-port laparoscopic surgery in the treatment of early-stage endometrial cancer
摘要
Abstract
Objective:To explore the safety and clinical efficacy of Da Vinci robot-assisted single-port laparoscopic surgery in the treatment of early-stage endometrial cancer.Methods:Clinical data of 51 patients with early-stage endometrial cancer in the First Affiliated Hospital of Nanchang University from June 2019 to June 2020 were retrospectively analyzed.Patients who underwent Da Vinci robot-assisted single-port laparoscopic surgery were divided into the robot-assisted single-port laparoscopic group(n=23),and patients who underwent Da Vinci robot-assisted multi-port laparoscopic surgery into the robot-assisted multi-port laparoscopic group(n=28).The outcomes of the two groups were analyzed and compared,including the baseline characteristics,intraoperative blood loss,operative time,number of lymph node dissection,rate of conversion to laparotomy,intraoperative blood transfusion,intraoperative injury,postoperative exhaust time,postoperative complications,visual analogue scale(VAS),length of hospital stay and subjective evaluation of incision.Results:All surgeries were completed successfully without intraoperative or postoperative complications.No conversion to laparotomy or conventional laparoscopic surgery occurred.No blood transfusion performed during the operation.The operative time of the robot-assisted single-port laparoscopic group was longer than that of the robot-assisted multi-port laparoscopic group.The robot-assisted single-port laparoscopic group had a shorter postoperative exhaust time,lower VAS,and shorter length of hospital stay than the robot-assisted multi-port laparoscopic group.73.91%(17/23)of patients in the robot-assisted single-port laparoscopic group were very satisfied,compared with that 42.86%(12/28)of patients in the robot-assisted multi-port laparoscopic group,and all the differences were statistically significant(P<0.05).There was no significant difference in the amount of blood loss and the number of lymph node dissection between the two groups(P>0.05).Conclusion:Da Vinci robot-assisted single-port laparoscopic surgery is safe and feasible in the treatment of early-stage endometrial cancer.Compared with the robot-assisted multi-port laparoscopic surgery,robot-assisted single-port laparoscopic surgery has the advantages of shorter exhaust time after surgery,shorter length of hospital stay,lower VAS,better cosmetic effect of abdominal incisions,and higher patient satisfaction rate after surgery.关键词
机器人辅助手术/单孔腹腔镜手术/多孔腹腔镜手术/子宫内膜癌Key words
Robot-assisted Surgery/Single-port Laparoscopic Surgery/Multi-port Laparoscopic Surgery/Endometrial Cancer分类
医药卫生引用本文复制引用
张琦玲,张智,杨蕾,蔡丽萍..达芬奇机器人辅助下单孔与多孔腹腔镜手术治疗早期子宫内膜癌的疗效对比[J].机器人外科学杂志（中英文）,2024,5(3):319-326,8.基金项目
江西省自然科学基金项目(20192ACBL20038) Natural Science Foundation of Jiangxi Province(20192ACBL20038) （20192ACBL20038）
