探讨达芬奇机器人手术系统行妇科手术的安全性、可行性及临床应用价值。

回顾性总结吉林省肿瘤医院于2014年10月至2017年2月实施的151例妇科手术临床资料及治疗效果。

151例手术均顺利完成，无中转开腹及更改术式。其中56例全子宫切除、29例宫颈癌、19例子宫内膜癌、18例子宫肌瘤剔除术、18例卵巢瘤核出术、4例乳腺癌去势、2例卵巢瘤单侧附件切除、1例卵巢癌、1例阴道癌、1例子宫次全切除、1例子宫肌瘤＋卵巢瘤核出、1例子宫肌瘤剔除＋腹膜后肿物切除。手术时间38～280 min，平均(156.9 ± 119.6)min；术中出血量0～120 ml，平均(64.9 ± 53.7)ml；术后肠道功能恢复时间7～54 h，平均(31.4 ± 22.7)h；膀胱功能恢复时间13～356 h，平均(192.7 ± 178.6)h；切除淋巴结15～44枚，平均(28.4±12.7)枚；住院时间89～648 h，平均(196.2 ± 73.4)h。

达芬奇机器人外科手术系统应用于妇科手术安全可行，尤其是在恶性肿瘤手术优势明显，患者出血少、创伤小、恢复快、安全性高，具有临床应用价值。

To explore the safety, feasibility and clinical value of gynecological surgery in Da Vinci robot system.

Retrospective summary of Jilin Provincial Tumor Hospital in Oct.2014 to Feb. 2017 implementation of 151 cases of gynecological surgery clinical data and treatment.

151 patients were successfully completed surgery, no transfer to open and change the operation. 56 cases of hysterectomy, 29 cases of cervical cancer, 19 cases of endometrial cancer, 18 cases of uterine leiomyoma, 18 cases of ovarian tumor, 4 cases of breast cancer castration, 2 cases of unilateral appendiceal ovarian resection, 1 case of ovarian cancer, 1 case of vaginal cancer, 1 case of uterine total resection, 1 case of uterine fibroids + ovarian tumor nucleus, 1 case of uterine fibroids removed + retroperitoneal tumor resection. The operation time ranged from 38 - 280 min, the average (156.9 ± 119.6) min; intraoperative blood loss was 0 -120 ml, the average (64.9 ± 53.7) ml; postoperative intestinal function recovery time was 7-54 h, the average (31.4 ± 22.7) h; bladder function recovery time of 13-356 h, average (192.7±178.6) h; lymph node resection from 15 - 44, the average (28.4 ±12.7); hospitalization time was 89-648 h, the average (196.2 ± 73.4) h.

Da Vinci robotic surgical operating system is safe and feasible for gynecological surgery, especially in the obvious advantages of malignant tumors, patients with less bleeding, less trauma, quick recovery, high safety, with clinical value.