妇科机器人手术术中并发症防治

Prevention and treatment of intraoperative complications in gynecological robotic surgery

目的分析郑州大学第一附属医院妇科微创中心开展机器人妇科手术以来术中并发症发生情况,总结原因及防治措施,以提高手术的安全性。方法收集自2014年10月至2022年6月收治于我中心行机器人妇科手术患者的病历资料,对术中并发症进行回顾性分析。结果统计机器人手术2000例,发生术中并发症49例,其中血管损伤18例,输尿管损伤18例,膀胱损伤4例,肠管损伤3例,闭孔神经损伤3例,皮下气肿3例。结论机器人手术在妇科领域的应用是安全可行的,术中并发症的发生率因术式不同而有所差异。重视并发症,熟悉其发生的相关因素、临床表现、诊断和防治措施对减少和避免并发症的发生至关重要。

Objective To analyze the occurrence of intraoperative complications in the Center for Minimally Invasive Gynecologic Surgery at the First Affiliated Hospital of Zhengzhou University,and to summarize the causes and preventive and curative treatment in order to improve the safety of surgery.Methods The medical records of patients admitted to our center for robotic gynecologic surgery from Oct.2014 to Jun.2022 were collected for retrospective analysis of intraoperative complications.Results A total of 2000 cases of robotic surgery were analyzed,and 49 cases of intraoperative complications occurred,including 18 cases of vascular injuries,18 cases of ureteral injuries,4 cases of bladder injuries,3 cases of intestinal injuries,3 cases of occlusive nerve injuries,and 3 cases of subcutaneous emphysema.Conclusion The application of robotic surgery in gynecology is safe and feasible,and the incidence of intraoperative complications varies depending on the type of surgery.Attention to complications and being familiar with their associated factors,clinical manifestations,diagnosis and prevention is essential to reduce and avoid complications.