Clinical comparation of robotic-assisted and laparoscopic operation in treatment of early stage endometrial carcinoma

doi:10.3877/cma.j.issn.1674-6899.2017.03.011

Abstract

Abstract:

Objective

By comparing the clinical data of robotic-assisted laparoscopic operation and laparotomy in the treatment of early stage endometrial carcinoma.

Methods

Totally 53 cases of patients were randomly divided into two parts, 18 cases undergoing robotic-assisted surgery, 35 cases undergoing laparotomy between Jun.2015 and Dec. 2016 in Jilin Province Tumor Hospital.

Results

All cases were operated successfully without changing surgical approach. Robotic-assisted laparoscopic operation time was more than laparotomy group[(108.71 ± 9.80)min vs (98.50 ± 10.93) min]. Blood loss[(40.10 ± 8.78)ml vs (60.71 ± 12.66)ml], 24 hours postoperative drainage of volume [ (40.16 ± 8.21)ml vs (56.08 ± 9.43)ml ]of robotic-assisted laparoscopic group were lower than laparotomy group(P< 0.05). postoperative bowel recovery time[(1.92 ± 1.43)d vs (2.88 ± 1.62)d], the length of hospitalization [(10.11 ± 1.78)d vs (11.37±1.57)d]. Mean dissected lymph node number, postoperative fever and complications occurrence had no statistical significance(P> 0.05).

Conclusions

In the clinical treatment of early stage endometrial carcinoma, robotic-assisted laparoscopic opetation has an advantage over laparotomy, worth the clinical promotion and application.

Key words: Early endometrial cancer, Robot, Laparoscopy

Fangfang Guo, Yueming Zhao, Wenjuan Feng, Yanjiang Liu, Li Qi, Liying Liu, Jia Zuo, Yong Yuan. Clinical comparation of robotic-assisted and laparoscopic operation in treatment of early stage endometrial carcinoma[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(03): 166-169.

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组别	例数	年龄(岁， ±s)	体质量指数( ±s)	临床分期[例(%)]
组别	例数	年龄(岁， ±s)	体质量指数( ±s)	Ⅰ期	Ⅱ期
机器人组	18	49.2 ± 6.9	24.1 ± 2.4	14(77.8)	4(22.2)
腹腔镜组	35	48.7 ± 5.9	24.9 ± 3.5	27(77.1)	8(22.8)
检验值	?	t＝0.250	t＝0.183	χ²＝0.003
P值	?	0.804	0.857	0.958

组别	例数	年龄(岁， ±s)	体质量指数( ±s)	临床分期[例(%)]
组别	例数	年龄(岁， ±s)	体质量指数( ±s)	Ⅰ期	Ⅱ期
机器人组	18	49.2 ± 6.9	24.1 ± 2.4	14(77.8)	4(22.2)
腹腔镜组	35	48.7 ± 5.9	24.9 ± 3.5	27(77.1)	8(22.8)
检验值	?	t＝0.250	t＝0.183	χ²＝0.003
P值	?	0.804	0.857	0.958

组别	例数	手术时间(min)	术中出血量(ml)	清扫淋巴结数(枚)
机器人组	18	108.11 ± 9.80	40.44 ± 4.55	24.39 ± 4.93
腹腔镜组	35	98.23 ± 8.19	56.54 ± 7.17	25.40 ± 3.80
t值	?	4.671	－8.647	－0.761
P值	?	<0.05	<0.05	0.453

组别	例数	手术时间(min)	术中出血量(ml)	清扫淋巴结数(枚)
机器人组	18	108.11 ± 9.80	40.44 ± 4.55	24.39 ± 4.93
腹腔镜组	35	98.23 ± 8.19	56.54 ± 7.17	25.40 ± 3.80
t值	?	4.671	－8.647	－0.761
P值	?	<0.05	<0.05	0.453

组别	例数	术后24 h腹腔引流量(ml)	术后首次肛门排气时间(d)	术后住院时间(d)
机器人组	18	40.11 ± 6.30	1.92 ± 1.43	10.11 ± 1.78
腹腔镜组	35	56.06 ± 12.72	2.88 ± 1.62	11.37 ± 1.57
t值	?	－4.996	1.053	－2.539
P值	?	<0.05	0.305	0.016

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