机器人与腹腔镜手术治疗早期卵巢癌的临床比较

Clinical comparison of robotic-assisted and traditional laparoscopic operations in the treatment of early stage ovarian cancer

背景与目的:随着微创技术的迅速发展,机器人在妇科手术中应用愈加广泛。该研究比较了机器人手术及腹腔镜手术治疗早期卵巢癌患者的临床治疗效果。方法:回顾性分析了吉林省肿瘤医院2015年1月—2016年12月完成的Ⅰ期卵巢癌手术患者22例,其中机器人手术8例(机器人组),腹腔镜手术14例(腹腔镜组)。结果:两组患者均按手术计划顺利完成手术,机器人组的手术时间长于腹腔镜组[(194.50±10.90)min vs(178.71±10.58)min],术中出血量少于腹腔镜组[(60.10±8.88)mL vs(73.71±12.99)m L],术后24 h腹腔引流量少于腹腔镜组[(96.88±10.21)mL vs(108.00±11.43)mL],差异均有统计学意义(P<0.05);两组的盆腔淋巴结清扫数、术后首次肛门排气时间、术后住院时间及术后发热等并发症比较,差异无统计学意义(P>0.05)。结论:机器人手术与腹腔镜手术治疗早期卵巢癌无明显临床差异,安全、有效;机器人手术在早期卵巢癌患者的治疗中值得推广和应用。

Background and Purpose： With the rapid development of minimally invasive technique, robotic surgery is widely used in the gynecological surgery. This study aimed to compare the clinical data of roboticassisted laparoscopy and laparotomy in the treatment of early ovarian cancer. Methods： A total of 22 patients with early ovarian cancer receiving stage Ⅰ operation between Jan. 2015 and Dec. 2016 in Jilin Province Tumor Hospital were randomly divided into two groups： 8 patients received robotic-assisted surgery （robotic-assisted laparoscopic group）, 14 patients received laparotomy （laparotomy group）. Results： All patients underwent successful operation without changing surgical approach. The operation time in robotic-assisted laparoscopic group was longer than that in laparotomy group [（194.50±10.90） min vs （178.71±10.58） min, P〈0.05]. Blood loss volume [（60.10±8.88） mL vs （73.71±12.99） mL], 24 hours postoperative drainage volumes of robotic-assisted laparoscopic group were less than those in laparotomy group [（96.88±10.21） mL vs （108.00±11.43） mL, P〈0.05]. Others had no statistical significance （P〉0.05）. Conclusion： In the clinical treatment of early ovarian cancer, there is no difference between robotic-assisted laparoscopic operation and laparotomy. Robotic-assisted laparoscopic operation is worthy of clinical promotion and application.