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目的比较机器人辅助与传统腹腔镜两种手术方式行全子宫切除术的临床资料,探讨机器人手术系统的优势。方法回顾性分析吉林省肿瘤医院妇科肿瘤二科2014年10月至2014年12月使用机器人辅助腹腔镜下全子宫切除术(RALH)30例(机器人组),并选取同期与之匹配的采用传统腹腔镜全子宫切除术(LH)30例为腹腔镜组,观察数据包括两组的手术时间、术中出血量、术后24 h引流量、术后首次排气时间及术后住院天数等。结果两组比较,机器人组术中出血量明显少于腹腔镜组,术后首次排气时间及住院时间均短于腹腔镜组,手术时间略长于腹腔镜组,差异有统计学意义(P<0.05);术后24 h引流量比较,差异无统计学意义(P>0.05)。结论机器人辅助腹腔镜手术具备术中出血少、损伤小、术后恢复快、患者痛苦小、平均住院天数缩短等优点,该手术方式安全可行,值得临床推广。
Objective To compare the clinical data of hysterectomy with robot assisted and conventional laparoscopic surgery to explore the advantages of robotic surgery system. Methods Retrospective analysis of 30 cases of gynecologic oncology department of Jilin Provincial Tumor Hospital from October 2014 to December 2014 using robotic assisted laparoscopic total hysterectomy (RALH) 30 cases (robotic group), and selected the same period matched traditional Laparoscopic total hysterectomy (LH) 30 cases of laparoscopic group, the observation data including the operation time of two groups, intraoperative blood loss, drainage volume 24 hours after operation, the first postoperative exhaust time and postoperative hospital stay and so on. Results Compared with the laparoscopic group, the bleeding volume of the robot group was significantly less than that of the laparoscopic group. The time of the first extubation and hospital stay were shorter than that of the laparoscopic group and the operation time was slightly longer than that of the laparoscopic group (P < 0.05). There was no significant difference in drainage volume at 24 hours after operation (P> 0.05). Conclusions Robot-assisted laparoscopic surgery has the advantages of less bleeding, less injury, faster recovery, less pain and shorter hospitalization days. This surgical approach is safe and feasible and worthy of clinical promotion.