摘要
目的探讨达芬奇机器人手术系统在子宫内膜癌全面分期手术中的临床疗效和学习曲线。方法2017年1月至2019年12月于我院因子宫内膜癌行全面分期手术的患者103例,分别采用达芬奇机器人手术系统(机器人组,n=48)和传统腹腔镜(对照组,n=55),比较两组患者的手术时间、术中出血、淋巴结清扫个数、并发症等指标,并对同一术者连续实施机器人手术的学习曲线进行分析。结果机器人组患者的手术时间、术中出血、术后拔除引流管时间以及术后住院时间均明显少于对照组,而清扫淋巴结个数明显多于对照组(P<0.05)。两组患者并发症及术后随访情况差异无统计学意义(P>0.05)。通过CUSUM分析发现,机器人组手术时间的学习曲线为17例。结论达芬奇机器人手术系统在子宫内膜癌全面分期手术中安全可行,优势明显,且该手术方式能被有一定基础的医师快速掌握。
Objective To compare the surgical outcomes between standard and robot-assisted laparoscopic surgery for endometrial cancer.Methods Clinical data of patients underwent comprehensive staging laparotomy for endometrial cancer in our hospital from Jan 2017 to Dec 2019 was retrospectively analyzed.Patients were divided into robotic group(n=48)and control group(n=55).Operation time,intraoperative bleeding,number of lymphadenectomy,complications and other indicators were compared between the two groups.The learning curve of the Da Vinci robotic surgical system was also investigated.Results The operation time,operation blood loss,and duration of post-operation length of stay were significantly shorter or less in the robotic group than those in the control group,while the number of lymphonodus dissected was significantly more in the robotic group(P<0.05).The condition of complication and follow-up was not significantly different between the two groups(P>0.05).The learning curve of robotic surgery for endometrial cancer was 17 cases.Conclusion Da Vinci robotic surgery offers an effective and safe alternative in surgical treatment of endometrial cancer.It can be quickly learned by skilled doctor.
作者
黄宇
HUANG Yu(Department of Obstetrics and Gynecology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital,Chengdu 610072,China)
出处
《实用医院临床杂志》
2020年第4期48-51,共4页
Practical Journal of Clinical Medicine
基金
四川省科技厅重点研发项目(编号:2018SZ0230)。
关键词
子宫内膜肿瘤
机器人
腹腔镜
学习曲线
Endometrial carcinoma
Robotic
Laparoscopy
Learning curve
