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中华腔镜外科杂志(电子版)

中华腔镜外科杂志(电子版) ›› 2017, Vol. 10 ›› Issue (02) : 93 -96. doi: 10.3877/cma.j.issn.1674-6899.2017.02.008

所属专题： 经典病例； 机器人手术； 文献；

论著

达芬奇机器人系统在宫颈癌根治术中的应用(附40例报告)
刘金钰1, 张锌2,†(), 高春英1, 朴金霞1   
  1. 1. 130012　长春，吉林省肿瘤医院妇科肿瘤一科
    2. 130031　长春，吉林大学中日联谊医院风湿免疫科
  • 收稿日期:2017-01-06 出版日期:2017-04-30
  • 通信作者: 张锌

Clinical application of da Vinci robotic surgery in cervical cancer : with a report of 40 cases

Jinyu Liu1, Xin Zhang2,†(), Chunying Gao1, Jinxia Piao1   

  1. 1. Department One of Gynecologic Oncology, Jilin Province Tumor Hospital, Changchun 130012, China
    2. Department of Rheumatology, China Japan Union Hospital, Jilin University , Changchun 130031, China
  • Received:2017-01-06 Published:2017-04-30
  • Corresponding author: Xin Zhang
  • About author:
    Corresponding author: Zhang Xin, Email:
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引用本文：

刘金钰, 张锌, 高春英, 朴金霞. 达芬奇机器人系统在宫颈癌根治术中的应用(附40例报告)[J/OL]. 中华腔镜外科杂志(电子版), 2017, 10(02): 93-96.

Jinyu Liu, Xin Zhang, Chunying Gao, Jinxia Piao. Clinical application of da Vinci robotic surgery in cervical cancer : with a report of 40 cases[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(02): 93-96.

目的

探讨达芬奇机器人手术系统应用于宫颈癌根治术的安全性及有效性。

方法

回顾性分析吉林省肿瘤医院妇科肿瘤一科2015年7月至2016年6月为40例宫颈癌患者行达芬奇机器人宫颈癌根治术(广泛性全子宫切除术＋盆腔淋巴结切除术)的临床资料，观察手术时间、术中出血量、中转开腹、清扫淋巴结数、术后肠蠕动恢复时间、术后住院时间等。

结果

40例患者均顺利完成手术，无一例中转开腹，未发生髂血管及输尿管、膀胱、肠管等盆腔器官损伤，手术时间(240.2 ± 60.3)min，术中出血量(65.6 ± 21.4)ml，清扫淋巴结(23.1 ± 3.9)枚，术后胃肠功能恢复时间(2.6 ± 1.0)d，标本残端均无肿瘤细胞残留，术后住院时间(12.5 ± 2.1)d。

结论

达芬奇机器人技术应用于宫颈癌根治术安全可行、疗效显著。

关键词: 达芬奇机器人手术, 宫颈癌, 宫颈癌根治术
Objective

The purpose of this study was to discuss the safety and feasibiIity of da Vinci robotic surgery-assisted resection of cervical cancer.

Methods

Department of gynecologic oncology, Jilin cancer hospital from Jul. 2015 to Jun. 2016 who underwent da Vinci robotic surgery-assisted resection of cervical cancer was retrospectively analyzed. The operating time, blood loss, number of conversion, number of harvested lymph node, postoperative intestinal peristalsis recovery time, the average hospital stay affer surgery were observed.

Results

All of the patients were operated successfully with no conversion, no iliac blood vessels, ureter, bladder and bowel pelvic organ damage, et al. The average operative time was (240.2 ± 60.3)min.The mean intraoperative blood loss was(65.6 ± 21.4)ml; The mean postoperative gastro intestinal function recovery time was(2.6 ± 1.0)d.All specimens stump were found with non-cancer cell infiliration, number of harvested lymph node was(23.1 ± 3.9). The average hospital stay affer surgery was(12.5 ± 2.1)d.

Conclusion

Da Vinci robotic surgery-assisted resection of cervical cancer is safe, feasible and efective.

Key words: Da Vinci robotic surgery, Cervical cancer, Resection of cervical cancer
1
Shen WS, Xi HQ, Chen L, et al. A meta-analysis of robotic versus laparoscopic gastrectomy for gastric cancer[J]. Surgical Endoscopy, 2014, 28(10): 2795-2802.
2
Liao G, Zhao Z, Lin S, et al. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials[J]. World Journal of Surgical Oncology, 2014, 12(1): 122.
3
Ishii H, Rai BP, Stolzenburg JU, et al. Robotic or open radical cystectomy, which is safer? a systematic review and meta-analysis of comparative studies[J]. Journal of Endourology, 2014, 28(10): 1215-1223.
4
Cao C, Manganas C, Ang SC, et al. A systematic review and meta-analysis on pulmonary resections by robotic video-assisted thoracic surgery[J]. Ann Cardiothorac Surg, 2012, 1(1): 3-10.
5
Vizza E, Corrado G, Mancini E, et al. Robotic single-site hysterectomy in low risk endometrial cancer: a pilot study[J]. Annals of Surgical Oncology, 2013, 20(8): 2759-2764.
6
Fagotti A, Corrado G, Fanfani F, et al. Robotic single-site hysterectomy (RSS-H) vs. laparoendoscopic single-site hysterectomy (LESS-H) in early endometrial cancer: a double-institution case-control study[J]. Gynecologic Oncology, 2013, 130(1): 219-223.
7
Orady M, Hrynewych A, Nawfal AK, et al. Comparison of robotic-assisted hysterectomy to other minimally invasive approaches[J]. Jsls Journal of the Society of Laparoendoscopic Surgeons, 2012, 16(16): 542-548.
8
Yong WJ, Sang WK, Kim YT, et al. Recent advances of robotic surgery and single port laparoscopy in gynecologic oncology[J]．J Gynecol Oneol，2009，20(3): 137-144.
9
Ramirez PT, Soliman PT, Schmeler KM, et al. Laparoscopic and robotic techniques for radical hysterectomy in patients with early-stage cervical cancer[J]. Gynecologic Oncology, 2008, 110(3): 21-24.
10
Shafer A, Boggess JF. Robotic-assisted endometrial cancer staging and radical hysterectomy with the da Vinci surgical system [J]. Gynecologic Oncology, 2008, 111(2): 18-23.
11
Maggioni A, Minig L, Zanagnolo V, et al. Robotic approach for cervical cancer: comparison with laparotomy: a case control study[J]. Gynecologic Oncology, 2009, 115(1): 60-64.
12
Ko EM, Muto MG, Berkowitz RS, et al. Robotic versus open radical hysterectomy: a comparative study at a single institution[J]. Gynecologic Oncology, 2008, 111(3): 425-430.
13
Nezhat FR, Datta MS, Liu C, et al. Robotic radical hysterectomy versus total laparoscopic radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer[J]. Jsls Journal of the Society of Laparoendoscopic Surgeons, 2008, 12(3): 227-237.
14
Payne TN, Dauterive FR. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice[J]. Journal of Minimally Invasive Gynecology, 2008, 15(15): 286-291.
15
Ko EM, Muto MG, Berkowitz RS, et al. Robotic versus open radical hysterectomy: a comparative study at a single institution[J]. Gynecologic Oncology, 2008, 111(3): 425-430.
16
Sert B, Abeler V. Robotic radical hysterectomy in early-stage cervical carcinoma patients, comparing results with total laparoscopic radical hysterectomy cases. the future is now[J]. International Journal of Medical Robotics & Computer Assisted Surgery, 2007, 3(3): 224-228.
17
丁晓萍，张亭亭，侯庆香，等. 机器人手术系统、腹腔镜及开腹手术治疗宫颈癌的对比研究[J]. 临床肿瘤学杂志，2014，19(7): 608-612.
18
Maggioni A, Minig L, Zanagnolo V, et al. Robotic approach for cervical cancer: comparison with laparotomy: a case control study [J]. Gynecologic Oncology, 2009, 115(1): 60-64.
19
Kruijdenberg CB, Lc VDE, Hendriks JC, et al. Robot-assisted versus total laparoscopic radical hysterectomy in early cervical cancer, a review [J]. Gynecologic Oncology, 2011, 120(3): 334-339.
20
马佳佳，陈必良. 达芬奇机器人手术系统下保留盆腔自主神经宫颈癌广泛性子宫切除术肿瘤学安全性及临床疗效观察[J]. 实用医院临床杂志，2015，12(1): 12-16.
21
Nezhat C, Lavie O, Hsu S, et al. Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy-a retrospective matched control study[J]. Fertility and Sterility, 2009, 91(2): 556-559.
22
郭芳芳，李冬青，齐金红，等. 机器人手术与传统腹腔镜宫颈癌根治术的临床比较[J/CD]. 中华腔镜外科杂志(电子版), 2016, 9(4): 224-227.
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