达芬奇机器人手术系统在早期卵巢癌分期手术中的应用价值研究

发布时间：2019-03-27 08:47

【摘要】：目的探讨达芬奇机器人手术系统在早期卵巢癌中的应用价值。方法回顾性分析郑州大学第一附属医院2013年10月至2016年8月开展的15例机器人辅助下早期卵巢癌分期手术与20例传统腹腔镜下早期卵巢癌分期手术的患者资料,比较两组患者手术时间、术中出血量、术中切除淋巴结数目、术中及术后并发症、术后排气时间、术后平均住院日等指标。结果两组患者均顺利完成早期卵巢癌全面分期手术。机器人组术中出血量、术后平均住院日均少于传统腹腔镜组,切除淋巴结数目、手术时间大于传统腹腔镜组(P0.05)。两组术后排气时间差异无统计学意义(P0.05)。病理结果显示:机器人组8例浆液性囊腺癌,3例黏液性囊腺癌,3例交界性囊腺瘤,1例未成熟性畸胎瘤。传统腹腔镜组12例浆液性囊腺癌,5例黏液性囊腺癌,2例交界性囊腺瘤,1例颗粒细胞瘤。两组均无中转开腹,均无术中、术后并发症发生。结论达芬奇机器人手术系统在早期卵巢癌分期手术中的临床应用安全可行,具有一定的优越性,可成为早期卵巢癌分期手术的新选择。
[Abstract]:Objective to evaluate the value of da Vinci robotic surgery system in early ovarian cancer. Methods from October 2013 to August 2016, 15 cases of early ovarian cancer stage operation assisted by robot and 20 cases of traditional laparoscopic early ovarian cancer staging operation were analyzed retrospectively, which were carried out in the first affiliated Hospital of Zhengzhou University from October 2013 to August 2016. The operative time, the amount of bleeding during operation, the number of resected lymph nodes, the complications during and after the operation, the postoperative exhaust time and the average hospital stay were compared between the two groups. Results all patients in both groups successfully completed the early stage operation of ovarian cancer. The average postoperative hospital stay in the robot group was less than that in the conventional laparoscopy group. The number of lymph nodes removed and the operative time in the robot group were longer than those in the conventional laparoscopy group (P0.05). There was no significant difference in postoperative exhaust time between the two groups (P0.05). Pathological results showed that there were 8 cases of serous cystadenocarcinoma, 3 cases of mucinous cystadenocarcinoma, 3 cases of borderline cystadenoma and 1 case of immature teratoma in robot group. There were 12 cases of serous cystadenocarcinoma, 5 cases of mucinous cystadenocarcinoma, 2 cases of borderline cystadenoma and 1 case of granulosa cell tumor in the traditional laparoscopy group. No conversion to laparotomy was found in both groups, no intraoperative and postoperative complications occurred. Conclusion the clinical application of da Vinci robot surgery system in early ovarian cancer staging surgery is safe and feasible, and has some advantages. It can be a new choice for early ovarian cancer staging surgery.
【作者单位】：郑州大学第一附属医院妇科;
【分类号】：R737.31

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