膜解剖理念相较于传统解剖理念在机器人辅助腹腔镜下宫颈癌根治术中的优势探讨(附手术视频)

Superiorities of robot-assisted radical surgery for cervical cancer based on the concept of membrane anatomy over conventional anatomy(with surgical video)

目的:探讨机器人辅助腹腔镜手术治疗宫颈癌中运用膜解剖理念的优势。方法:回顾性分析2020年3月—2023年3月在厦门大学附属第一医院行机器人辅助手术的36例宫颈癌患者的临床资料,其中14例运用膜解剖理念进行手术的患者分为膜解剖组,22例传统解剖理念下进行手术的患者分为传统解剖组。比较两组患者的基本资料及手术时间、平均术中出血量、平均拔除尿管后残余尿量、平均术后住院时间等手术相关指标。结果:36例患者均顺利完成手术,无中转开腹病例。两组患者手术相关指标相比,膜解剖组患者手术时间更短,平均术中失血量更少,平均拔除尿管后残余尿量更少,平均术后住院时间更短,差异具有统计学意义(P<0.05)。膜解剖组患者暴露盆丛比例高于传统解剖组(92.86%Vs 36.36%),两组患者暴露深静脉并离断比例均为100%。结论:运用膜解剖理念在机器人辅助腹腔镜下宫颈癌根治术中优势明显。

Objective:To explore the advantages of using membrane anatomy in robot-assisted laparoscopic surgery for cervical cancer.Methods:A retrospective analysis was conducted on the clinical data of 36 cervical cancer patients who underwent robot-assisted laparoscopic surgery at the First Affiliated Hospital of Xiamen University from March 2020 to August 2023.Among them,14 patients underwent the surgery based on the concept of membrane anatomy were divided into the membrane anatomy group and 22 patients underwent the surgery with conventional anatomy into the conventional anatomy group.The basic data,operative time,average intraoperative blood loss,average volume of residual urine after catheter removal,average length of hospital stay and other surgical indicators were compared between the two groups of patients.Results:All surgeries was successfully completed without conversion to open surgery.Compared with the conventional anatomy group in surgical indicators,patients in the membrane anatomy group had shorter operative time,less average intraoperative blood loss,less average volume of residual urine after catheter removal,and shorter average length of hospital stay,and the differences were statistically significant(P<0.05).The proportion of exposed pelvic plexus in the membrane anatomy group was higher than that in the conventional anatomy group(92.86%Vs 36.36%),and the proportion of exposed and dissected deep veins in the two groups were both 100%.Conclusion:The application of membrane anatomy concept in robot-assisted laparoscopic surgery for cervical cancer has obvious advantages.