摘要
目的:对比分析机器人与传统腹腔镜手术治疗早期上皮性卵巢癌的优缺点及预后价值。方法:收集2016年5月至2020年11月于郑州大学第一附属医院治疗的73例早期(FIGOⅠ~Ⅱ期)上皮性卵巢癌患者的临床资料,其中机器人辅助下腹腔镜手术30例(机器人组),传统腹腔镜手术43例(腹腔镜组)。比较两组术中、术后相关指标和远期疗效。结果:①两组患者均顺利完成手术,无中转开腹。与腹腔镜组比较,机器人组的手术时间长、术中出血量少、术中切除淋巴结数多、手术费用较高、术后24小时腹腔引流量少,差异均有统计学意义(P<0.05);②对机器人助手(8人)调查发现:操作便利性满意(87.5%)、器械连接与装配满意(75.0%)及学习难度满意(87.5%),与主刀配合时的难易度及手术系统转运满意率均为62.5%,而舒适度的满意率为50.0%;③在随访期内,两组患者的复发率及无进展生存期比较,差异无统计学意义(P>0.05)。结论:机器人辅助腹腔镜全面分期手术治疗早期上皮性卵巢癌具有减少术中出血量、术中切除淋巴结多、腹腔引流量少的优势,但存在助手配合有难度、花费高等缺点,随着技术的革新,合理选择患者的条件下,机器人手术治疗早期上皮性卵巢癌具有优越性。
Objective:To compare and analyze the advantages,disadvantages and prognostic value of robot assisted and traditional laparoscopic surgery in the treatment of early epithelial ovarian cancer.Methods:The clinical data of 73 patients with early-stage(FIGOⅠ-Ⅱ)epithelial ovarian cancer treated at the First Affiliated Hospital of Zhengzhou University from May 2016 to November 2020 were collected,including 30 cases of robot-assisted laparoscopic surgery(robot group)and 43 cases of traditional laparoscopic surgery(laparoscopic group).The intraoperative and postoperative related indicators and long-term efficacy were compared between the two groups.Results:①Both groups of patients successfully completed the operation without conversion to laparotomy.Compared with the laparoscopic group,the robot group had a longer surgical time,less intraoperative bleeding,more lymph nodes removed during surgery,higher surgical cost,less intraperitoneal drainage 24 hours after surgery,the differences were statistically significant(P<0.05).②The survey of robot assistants(8)found that they were satisfied with the convenience of operation(87.5%),the instrument connection and assembly(75.0%)and learning difficulty(87.5%),while the satisfaction rates of difficulty and surgical system transfer when cooperating with the main knife were 62.5%,and the satisfaction rates of comfort were 50.0%.③during the follow-up period,there was no significant difference in the recurrence rate and progression free survival between the two groups(P>0.05).Conclusions:Robot-assisted laparoscopic comprehensive staging surgery treatment of early epitheilial ovarian cancer has the advantages of reducing intraoperative bleeding,removing more lymph nodes during surgery,and reducing intraperitoneal drainage fluid,but it has the disadvantages of difficult assistant cooperation and high cost.With the innovation of technology,under the condition of reasonable selection of patients,the application of robotic surgery in early epithelial ovarian cancer has superiority.
作者
付小雨
郭瑞霞
王倩
白晶
赵孟玲
付翰林
FU Xiaoyu;GUO Ruixia;WANG Qian(Department of Gynecology,The First Affiliated Hospital of Zhengzhou University,Henan key Laboratory of Gynecological Cancer Prevention and Treatment Medicine,Zhengzhou Henan 450052,China)
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2022年第5期364-368,共5页
Journal of Practical Obstetrics and Gynecology
基金
河南省医学科技攻关省部共建重点项目(编号:SBGJ202002047)。
关键词
早期上皮性卵巢癌
机器人手术
复发率
对比研究
Early epithelial ovarian cancer
Robotic surgery
Recurrence rate
Comparative study
