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中华腔镜外科杂志(电子版) ›› 2021, Vol. 14 ›› Issue (04) : 245 -247. doi: 10.3877/cma.j.issn.1674-6899.2021.04.013

病例报告

全脏器反位患者机器人辅助下宫颈癌根治术一例
苏英杰1, 窦磊1, 田东立1, 芦恩婷1, 张颐1,()   
  1. 1. 110000 沈阳,中国医科大学附属第一医院妇科
  • 收稿日期:2021-07-04 出版日期:2021-10-08
  • 通信作者: 张颐
  • 基金资助:
    辽宁省中央引导地方科技发展专项(2019JH6/10400006); 国家重点研发计划项目(2018YFC1311600)

The situs inversus totalis (SIT) patient undergoing robot assisted radical hysterectomy surgery successfully: a case report

Yingjie Su1, Lei Dou1, Dongli Tian1, Enting Lu1, Yi Zhang1,()   

  1. 1. Department of Gynecology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
  • Received:2021-07-04 Published:2021-10-08
  • Corresponding author: Yi Zhang
引用本文:

苏英杰, 窦磊, 田东立, 芦恩婷, 张颐. 全脏器反位患者机器人辅助下宫颈癌根治术一例[J/OL]. 中华腔镜外科杂志(电子版), 2021, 14(04): 245-247.

Yingjie Su, Lei Dou, Dongli Tian, Enting Lu, Yi Zhang. The situs inversus totalis (SIT) patient undergoing robot assisted radical hysterectomy surgery successfully: a case report[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(04): 245-247.

目的

探讨全脏器反位(situs inversus totalis,SIT)患者行机器人辅助下宫颈癌根治术的安全性和可行性。

方法

回顾性分析2019年1月中国医科大学附属第一医院妇科1例SIT合并宫颈癌患者的临床资料。

结果

患者顺利完成手术,总手术时间7 h,其中术者操作时间6.5 h;术中出血量约50 ml,术后病理为宫颈鳞状细胞癌。

结论

SIT合并宫颈癌患者行达芬奇机器人辅助下宫颈癌根治术具有一定的安全性和有效性,同时具有创伤小、疼痛轻、恢复快、切口美观等优点。

Objective

To investigate the safety and feasibility of robot-assisted radical hysterectomy in patients with situs inversus totalis.

Methods

A retrospective analysis of the clinical information of a patient with situs inversus totalis combined with cervical cancer in the Department of Gynecology, First Affiliated Hospital of China Medical University in Jan. 2019.

Results

The patient successfully completed the operation. The total operation time was 7 hours, the operation time of the surgeon was 6.5 hours, the intraoperative blood loss was about 50 ml, and the postoperative pathology was cervical squamous cell carcinoma.

Conclusions

Da Vinci robot-assisted radical hysterectomy for patients with situs inversus totalis and cervical cancer has a certain degree of safety and effectiveness. At the same time, it has the advantages of small trauma, less pain, quick recovery, and beautiful incision.

图1 全脏器反位合并宫颈癌患者的术前肺CT(A、B)
图2 全脏器反位合并宫颈癌患者Trocar位置
图3 广泛子宫全切除、双侧卵巢输卵管切除、盆腔淋巴结清扫术完毕(A~D)
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