达芬奇机器人在7例早期卵巢癌分期手术中的临床应用

发布时间：2018-03-30 04:10

本文选题：达芬奇机器人　切入点：早期卵巢癌分期手术　出处：《实用妇产科杂志》2015年09期

【摘要】：目的:初步探讨达芬奇机器人在早期卵巢癌分期手术临床应用中的安全性及可行性。方法:回顾分析郑州大学第一附属医院2014年10月至2015年3月为7例患者采用达芬奇机器人行早期卵巢癌分期手术的临床资料。结果:7例采用达芬奇机器人行早期卵巢癌分期手术的患者,平均手术时间299.29±52.63分钟,术中平均出血量90.71±18.13 ml,平均切除盆腔及腹主动脉旁淋巴结个数28.57±2.37个,术后平均肛门排气时间1.79±0.57天,术后平均住院时间9.29±1.80天。病理检查结果显示:4例为卵巢浆液性囊腺癌,1例为黏液性囊腺癌,2例为交界性囊腺瘤局部恶变,其中1例腹腔冲洗液发现恶性细胞。7例达芬奇机器人手术均无中转开腹、肠道及泌尿系损伤、术中血管损伤及术后盆腹腔渗血、出血等并发症。结论:达芬奇机器人手术在早期卵巢癌分期手术中的临床应用有一定可行性和安全性。
[Abstract]:Objective: To investigate the Da Vinci robot staging operation safety and feasibility of clinical application in early ovarian cancer. Methods: a retrospective analysis of the First Affiliated Hospital of Zhengzhou University from October 2014 to March 2015 for the clinical data of 7 patients with early ovarian cancer underwent Da Vinci robotic surgical staging. Results: 7 patients with early ovarian cancer underwent Da Vinci robotic surgical staging the average operation time was 299.29 + 52.63, 90.71 + minutes, average amount of bleeding was 18.13 ml, the average removal of pelvic and paraaortic lymph node number 28.57 + 2.37, the average postoperative anal exhaust time was 1.79 + 0.57 days after surgery, the average hospitalization time was 9.29 + 1.80 days. Pathological examination showed that 4 cases were: ovarian serous cystadenocarcinoma, 1 cases of mucinous cystadenocarcinoma, 2 cases of borderline cystadenoma of local malignant, 1 cases of peritoneal fluid found in malignant cells.7 cases of Da Vinci machine No complications such as conversion to laparotomy, intestinal and urinary system injury, intraoperative vascular injury and postoperative pelvic bleeding, bleeding and other complications were found in human operation. Conclusion: the clinical application of Da Vinci robotic surgery in stage surgery of early stage ovarian cancer is feasible and safe.

【作者单位】：郑州大学第一附属医院;
【分类号】：R737.31

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