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.
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