达芬奇机器人手术系统在子宫内膜癌全面分期手术中的应用价值

The Da Vinci Robotic- Assisted operation in comprehensive staging of endometrial carcinoma

目的探讨达芬奇机器人手术系统在子宫内膜癌全面分期手术中的应用价值。方法选取2015-01—2018-06间在郑州大学第一附属医院接受全面分期手术的200例子宫内膜癌患者。将行达芬奇机器人手术系统手术的患者作为机器人组,将行腹腔镜手术的患者作为腹腔镜组,各100例。比较2组患者的手术时间及术中出血量、并发症、淋巴结清扫数和术后肛门恢复排气时间及住院时间等指标。结果 2组患者均顺利完成手术,术后肛门恢复排气时间差异无统计学意义(P>0.05)。机器人组的手术时间、术中出血量、淋巴结清扫数目及术后住院时间均优于腹腔镜组,差异有统计学意义(P<0.05)。2组术中发生并发症率及各随访6个月内的并发症发生率和复发率差异无统计学意义(P>0.05)。结论达芬奇机器人手术系统应用于子宫内膜癌全面分期手术,安全可行,是子宫内膜癌全面分期手术的新选择。

Objective To investigate the application of Da Vinci robotic-assisted and traditional laparoscopic surgery in the comprehensive staging of endometrial carcinoma.Methods A total of 200 patients with endometrial carcinoma were enrolled in the first affiliated Hospital of Zhengzhou University from 2015-01 to 2018-06. The results were as follows:(1) A total of 200 patients with endometrial carcinoma were enrolled in this study. Patients who underwent the Da Vinci robotic surgery system were treated as robot groups. The patients who underwent laparoscopic surgery were treated as laparoscopy group(100 cases each). The operative time, intraoperative bleeding volume, complications, lymph node dissection, anal recovery and exhaust time and average hospital stay were compared between the two groups.Results There was no significant difference in anal recovery time between the two groups(P>0.05). The operative time, the amount of bleeding, the number of lymph node dissection and the average hospital stay after operation in the robot group were better than those of the laparoscopic group. There was no significant difference in complication rate and recurrence rate within 6 months of follow-up between the two groups(P>0.05), but there was no significant difference in complication rate and recurrence rate between the two groups(P<0.05).Conclusion Da Vinci robot surgery system is safe and feasible for all-round staging of endometrial carcinoma. It is a new choice for all-round staging of endometrial cancer.