Application of robotic surgical system in fertility-sparing surgery for early stage cervical cancer(with surgical video)
Objective:To analyze the clinical application effect of Da Vinci robot-assisted fertility-sparing surgery for early stage cervical cancer.Methods:11 cases of Da Vinci robot-assisted fertility-sparing surgery performed in the First Affiliated Hospital of the Air Force Military Medical University from December 2013 to December 2021 were retrospectively analyzed.Patients had hysterectomy after surgery or not and their menstrual recovery,pregnancy and recurrence rate were statistically analyzed.Results:All 11 patients survived and no recurrence was found so far.Among them,2 patients had hysterectomy,and normal menstruation was found in the rest 9 patients.2 patients were successfully conceived and delivered to term,while 7 patients had not yet conceived.At present,3 patients have turned to assisted reproductive technology,and 1 patient adopted a child.Conclusion:The robotic surgical system is safe and effective in fertility-sparing surgery for patients with early stage cervical cancer,which provides a new option for young patients with early-stage cervical cancer who need fertility preservation.However,its application advantages and pregnancy outcomes should be confirmed by long-term multicenter clinical trials.
国家科技期刊平台
NSTL
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