机器人外科学杂志（中英文）2025，Vol.6Issue(9)：1509-1515,7.DOI:10.12180/j.issn.2096-7721.2025.09.013
机器人辅助腹腔镜手术治疗肥胖宫颈癌患者的短期疗效及生活质量分析
Analysis on the short-term efficacy and quality of life of robot-assisted laparoscopic surgery for obese patients with cervical cancer
摘要
Abstract
Objective:To investigate the short-term efficacy,safety,and quality of life of robot-assisted laparoscopic surgery on obese patients with early-stage cervical cancer.Methods:377 patients with early-stage cervical cancer and BMI≥30 kg/m2 admitted to the First Affiliated Hospital of Air Force Medical University from January 2022 to December 2023 were selected.Based on the timing of surgery,196 patients who underwent traditional laparoscopic surgery from January 2022 to December 2022 were included in the control group,and 181 patients who underwent robot-assisted laparoscopic surgery from January 2023 to December 2023 were included in the study group.Perioperative indicators,quality of life,cervical cancer tumor marker levels,postoperative pathological indicators,postoperative complication rates,and short-term recurrence rates were compared between the two groups.Results:Compared with the control group,the study group had shorter time to first anal exhaust,shorter duration of urinary catheter and drainage tube placement,and reduced postoperative hospital stay,but longer operative time and less intraoperative blood loss(P<0.05).At 3 months postoperatively,the scores in all domains on the Functional Assessment of Cancer Therapy-Cervix(FACT-Cx)and the total scores were higher than those before surgery in both groups,and they were higher in the study group than the control group(P<0.05).One month postoperatively,the levels of SCC-Ag and CA125 in both groups were lower than those before surgery,and the levels in the study group were lower than those in the control group(P<0.05).Compared with the control group,the study group had a higher number of lymph nodes dissected(P<0.05).No significant differences were observed between the two groups in lymph node positivity rate,vascular invasion rate,parametrial involvement rate,or depth of myometrial invasion(P>0.05).The overall incidence of postoperative complications was lower in the study group than the control group(P<0.05).There were no statistically significant differences between the two groups in terms of recurrence rates at 3 and 6 months postoperatively(P>0.05).Conclusion:Compared with traditional laparoscopic surgery,robot-assisted laparoscopic surgery for cervical cancer patients with obesity,although it takes longer,results in less intraoperative bleeding,more thorough lymph node dissection,lower tumor marker levels,and a lower incidence of postoperative complications.Patients recover faster and have a higher quality of life,making it worthy of clinical promotion.关键词
机器人辅助腹腔镜手术/肥胖/宫颈癌/短期疗效/生活质量Key words
Robot-assisted Laparoscopic Surgery/Obesity/Cervical Cancer/Short-term Efficacy/Quality of Life分类
医药卫生引用本文复制引用
董翠翠,淡甜,赵淑华,赵荣娟..机器人辅助腹腔镜手术治疗肥胖宫颈癌患者的短期疗效及生活质量分析[J].机器人外科学杂志（中英文）,2025,6(9):1509-1515,7.基金项目
国家自然科学基金(82103360)National Natural Science Foundation of China(82103360) （82103360）
