机器人外科学杂志（中英文）2025，Vol.6Issue(5)：764-768,774,6.DOI:10.12180/j.issn.2096-7721.2025.05.013
机器人辅助腹腔镜联合前哨淋巴结绘图在子宫内膜癌手术中的临床效果分析(附手术视频)
Analysis of the clinical efficacy of robot-assisted laparoscopic surgery combined with sentinel lymph node mapping for endometrial cancer(with surgical video)
摘要
Abstract
Objective:To investigate the therapeutic efficacy of robot-assisted laparoscopic surgery combined with sentinel lymph node(SLN)mapping in the treatment of early-stage endometrial cancer.Methods:140 patients with early-stage(StageⅠ-Ⅱ)endometrial cancer admitted to the Ningxia Medical University General Hospital from January 2021 to December 2023 were enrolled.Based on surgical preferences,patients were divided into the robotic group(n=60,undergoing robot-assisted laparoscopic surgery combined with SLN mapping)and the laparoscopic group(n=80,undergoing traditional laparoscopic surgery combined with SLN mapping).Surgical parameters,SLN detection outcomes,and complication rates were compared between the two groups of patients.Results:All surgeries were completed successfully without conversion to laparotomy.The robotic group showed better outcomes in operative time,intraoperative blood loss,postoperative length of hospital stay,12-hour postoperative visual analogue scale(VAS)scores,postoperative flatus time,and preoperative and postoperative hemoglobin difference than the laparoscopic group(P<0.05).No statistically significant differences were observed in total SLN detection rate,mean number of lymph nodes dissected per patient,or complication rates(P>0.05).During a median follow-up period of 16 months(6-36 months),no local recurrence or distant metastasis was detected in either group.Conclusion:Robot-assisted laparoscopic surgery combined with SLN mapping is effective in the treatment of early-stage endometrial cancer,it can minimize surgical trauma and accelerate patient recovery,which is worthy of clinical promotion.关键词
机器人辅助腹腔镜手术/子宫内膜癌/前哨淋巴结绘图Key words
Robot-assisted Laparoscopic Surgery/Endometrial Cancer/Sentinel Lymph Node Mapping分类
医药卫生引用本文复制引用
雍圆圆,吴丽仙,王卓,李锁菲,Sana Mushtaq,李妍..机器人辅助腹腔镜联合前哨淋巴结绘图在子宫内膜癌手术中的临床效果分析(附手术视频)[J].机器人外科学杂志（中英文）,2025,6(5):764-768,774,6.基金项目
宁夏回族自治区科技惠民专项(2023CMG03027)Science and Technology Special Program for Public Welfare of Ningxia Hui Autonomous Region(2023CMG03027) （2023CMG03027）
