达芬奇机器人与腹腔镜手术治疗宫颈残端癌的对比研究

目的通过达芬奇机器人与腹腔镜手术治疗宫颈残端癌，探讨达芬奇机器人手术系统的安全性及优越性。 方法回顾性分析吉林省肿瘤医院2014年10月至2016年10月的9例宫颈残端癌(Ⅰb1～Ⅱa2期)住院患者分别接受机器人宫颈残端癌根治术(机器人组4例)与腹腔镜宫颈残端癌根治术(腹腔镜组5例)的相关临床资料。 结果机器人组与腹腔镜组的手术时间分别为(151.3 ± 10.4)min、(150.3 ± 13.2)min，术中出血量分别为(108.5 ± 26.5)ml、(232.5 ± 18.5)ml，术后下床活动时间分别为(1.5 ± 0.8)d、(2.3 ± 0.5)d，术后拔除尿管时间分别为(8.5 ± 0.5)d、(14.6 ± 1.3)d，术后视觉模拟评分法评分分别为(4.8 ± 0.9)分、(6.4 ± 1.4)分，术后肛门排气时间分别为(1.4 ± 0.6)d、(2.6 ± 0.7)d，术后住院时间分别为(10.4 ± 1.7)d、(15.2 ± 2.1)d；手术时间比较，差异无统计学意义(P> 0.05)；其他所有项目比较，差异均有统计学意义(P< 0.05)。 结论达芬奇机器人手术治疗子宫颈残端癌安全、可行。

A contrast analysis of Da Vinci robotic and laparoscopic surgery comparative for the treatment of cervical stump cancer

ObjectiveTo compare the clinical data of Da Vinci robotic and laparoscpic surgical treatment of cervical stump cancer, discuss the Da Vinci robotic safety and advantage. MethodsA retrospective analysis was made on the clinical data of 9 cases of cervical stump cancer patients in hospital(clinical stage for Ⅰb1-Ⅱa2) who undergoing radical hysterectomy in Jilin Province Tumor Hospital from Oct. 2014 to Oct. 2016, 4 cases of cervical stump cancer undergoing robot radical hysterectomy(robot group)and 5 cases of cervical stump cancer undergoing laparoscopic radical hysterectomy(traditional laparoscopic group). ResultsThe operation time were(151.3 ± 10.4)min and(150.3 ± 13.2)min, the operation blood loss were(108.5 ± 26.5)ml and(232.5 ± 18.5)ml, the activity time after surgery were(1.5 ± 0.8)d and (2.3 ± 0.5)d, postoperative urinary tube pull out time were(8.5 ± 0.5)d and(14.6 ± 1.3)d, postoperative pain VAS score were(4.8 ± 0.9)and (6.4 ± 1.4), the exhaust time after surgery were(1.4 ± 0.6)d and(2.6 ± 0.7)d, the the length of time after the surgery(10.4 ± 1.7)d and(15.2 ± 2.1)d in robot group and traditional laparoscopic. The operation time there was no statistically significant (P> 0.05). All the rest of the project the differenct was statistically significant (P< 0.05). ConclusionsRobot-assisted laparoscopic radical trachelectomy for cervical stump cancer is safe and feasible.