期刊文献+

机器人外科手术系统在妇科手术中应用的初步探讨 被引量:1

Applications of robot-assisted surgery in gynecologic surgery:a preliminary study
下载PDF
导出
摘要 目的评价达芬奇S机器人外科系统在妇科手术中的应用效果。方法回顾性分析2010年59月在复旦大学附属华东医院应用达芬奇S机器人外科手术系统辅助进行妇科手术的8例患者的临床资料。结果行子宫肌瘤剥除术2例,子宫肌瘤剥除+卵巢囊肿剥除术1例,卵巢囊肿剥除术2例,附件切除术+左肾切除术1例,附件切除术+子宫肌瘤剥除术1例,全子宫+右侧附件切除术1例。除1例全子宫切除患者在完成子宫切除及阴道缝合后由于创面出血视野不清而转开腹止血外,其余7例均顺利完成手术。平均手术时间为(199±42)min,中位术中出血量为50mL。均无输血。平均住院时间为(7±3)d。无术后并发症发生。结论达芬奇S机器人外科系统具有三维图像及灵活的手术器械,应用于妇科手术是安全可靠的。 Objective To evaluate the efficacy of Da Vinci S surgical system in gynecologic surgery. Methods The clinical data of 8 patients,who had undergone robot-assisted gynecologic surgery using Da Vinci S surgical system from May to September 2010 in Huadong Hospital,Fudan University,were retrospective analyzed. Results The 8 operations included 2 myomectomy,1 myomectomy and ovariocystectomy,2 ovariocystectomy,1 ovariosalpingectomy and left nephrectomy,1 ovariosalpingectomy and myomectomy,and 1 hysterectomy and right ovariosalpingectomy.The operations were successfully done in 7 patients.One receiving hysterectomy had pelvic bleeding after removal of the uterus and vaginal cuff closure and was converted to laparotomy due to poor visualization.The mean operative time was(199±42) min.with an estimated blood loss of 50 mL and a hospital stay of(7±3) days.No blood transfusion was needed.There were no postoperative complications.Conclusion The Da Vinci S surgical system offers a three-dimensional vision system and wristed instrumentation;our preliminary data confirm that robot-assisted gynecologic surgery is feasible and safe.
作者 夏颖 高燕
出处 《上海医学》 CAS CSCD 北大核心 2011年第1期51-53,共3页 Shanghai Medical Journal
关键词 机器人外科手术系统 微创 妇科手术 Robot-assisted surgery Micro-invasive Gynecologic surgery
  • 相关文献

参考文献8

  • 1Neil,Johnson,David,Barlow,Anne,Lethaby,Emma,Tavender,Liz,Curr,Ray,Garry,戴毅(译),潘凌亚(校).子宫切除的术式:随机对照试验的系统性综述和汇总分析[J].英国医学杂志中文版,2005,8(5):322-322. 被引量:1
  • 2C. Diaz-Arrastia,C. Jurnalov,G. Gomez,C. Townsend.Laparoscopic hysterectomy using a computer-enhanced surgical robot[J]. Surgical Endoscopy and Other Interventional Techniques . 2002 (9)
  • 3Sarlos D,,Kots L,Stevanovic N,et al.Robotic hysterectomy versus conventional laparoscopic hysterectomy:outcome and cost analyses of a matched case-control study. European Journal of Obstetrics Gynecology and Reproductive Biology . 2010
  • 4AP Advincula,X Xu,S Goudeau,SB Ransom.Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs. J Minim Invasive Gynecol . 2007
  • 5Kho RM,Hilger WS,Hentz JG,et al.Robotic hysterectomy:technique and initial outcomes. American Journal of Obstetrics and Gynecology . 2007
  • 6Nezhat C,,Lavie O,Hsu S, et al.Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy: a retrospective matched control study. Fertility and Sterility . 2009
  • 7Payne TN,,Dauterive FR.A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy : surgical outcomes in a community practice. J Minim Invasive Gynecol . 2008
  • 8RK Reynolds,AP Advincula.Robot-assisted laparoscopic hysterectomy: technique and initial experience. The American Journal of Surgery . 2006

同被引文献19

引证文献1

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部