Superiorities of robot-assisted radical surgery for cervical cancer based on the concept of membrane anatomy over conventional anatomy(with surgical video)
Objective:To explore the advantages of using membrane anatomy in robot-assisted laparoscopic surgery for cervical cancer.Methods:A retrospective analysis was conducted on the clinical data of 36 cervical cancer patients who underwent robot-assisted laparoscopic surgery at the First Affiliated Hospital of Xiamen University from March 2020 to August 2023.Among them,14 patients underwent the surgery based on the concept of membrane anatomy were divided into the membrane anatomy group and 22 patients underwent the surgery with conventional anatomy into the conventional anatomy group.The basic data,operative time,average intraoperative blood loss,average volume of residual urine after catheter removal,average length of hospital stay and other surgical indicators were compared between the two groups of patients.Results:All surgeries was successfully completed without conversion to open surgery.Compared with the conventional anatomy group in surgical indicators,patients in the membrane anatomy group had shorter operative time,less average intraoperative blood loss,less average volume of residual urine after catheter removal,and shorter average length of hospital stay,and the differences were statistically significant(P<0.05).The proportion of exposed pelvic plexus in the membrane anatomy group was higher than that in the conventional anatomy group(92.86%Vs 36.36%),and the proportion of exposed and dissected deep veins in the two groups were both 100%.Conclusion:The application of membrane anatomy concept in robot-assisted laparoscopic surgery for cervical cancer has obvious advantages.