摘要
目的对比机器人与腹腔镜手术治疗早期子宫内膜癌的临床疗效。方法回顾性分析吉林省肿瘤医院2015年6月至2016年12月完成的早期子宫内膜癌手术患者53例,其中机器人手术18例(机器人组),腹腔镜手术35例(腹腔镜组)。结果 53例患者均顺利完成手术,无中转开腹。机器人组的手术时间长于腹腔镜组[(108.71±9.80)min vs(98.50±10.93)min],术中出血量少于腹腔镜组[(40.10±8.78)ml vs(60.71±12.66)ml],术后24 h腹腔引流量少于腹腔镜组[(40.16±8.21)ml vs(56.08±9.43)ml)],术后首次肛门排气时间短于腹腔镜组[(1.92±1.43)d vs(2.88±1.62)d)]、术后住院时间短于腹腔镜组[(10.11±1.78)d vs(11.37±1.57)d)],两组差异有统计学意义(P<0.05);两组的淋巴结清扫数及术后并发症发生率无明显不同,异常无统计学意义(P>0.05)。结论机器人手术治疗早期子宫内膜癌可行、安全,临床效果优于腹腔镜,适合应用于临床。
Objective By comparing the clinical data of robotic-assisted laparoscopic operation andlaparotomy in the treatment of early stage endometrial carcinoma. Methods Totally 53 cases of patientswere randomly divided into two parts, 18 cases undergoing robotic-assisted surgery,35 cases undergoing laparotomy between Jun. 2015 and Dec. 2016 in Jilin Province Tumor Hospital. Results All cases wereoperated successfully without changing surgical approach. Robotic-assisted laparoscopic operation time was more than laparotomy group [ （ 108. 71 ± 9. 80） min vs （ 98. 50 ± 10.93） min]. Blood loss [（40. 10 ± 8. 78） ml vs （60.71 ± 12. 66） ml],24 hours postoperative drainage of volume [ （40. 16 ± 8. 21） ml vs （56.08 ± 9. 43） ml ] of robotic-assisted laparoscopic group were lower than laparotomy group（P 〈 0 . 05）. postoperative bowel recovery time [ （ 1. 92 ± 1.43 ） d vs （ 2. .8 ± 1.62 ） d ] , the length of hospitalization [（10. 11 ± 1. 78 ） d vs （（1.37 ±1. 57 ） d ]. Mean dissected lymph node number, postoperative fever and complications occurrence had no statistical significance （ P 〉 0.05）. Conclusions In the clinical treatment of early stage endometrial carcinoma, robotic-assisted laparoscopic opetation has an advantage over laparotomy, worth the clinical promotion and application.
出处
《中华腔镜外科杂志（电子版）》
2017年第3期166-169,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
吉林省卫生计生青年科技骨干培养计划项目(2016J026)
