Exploration of robot-assisted laparoscopic hysterectomy for complex enlarged uterus(with surgical video)
Objective:To investigate the clinical efficacy and advantages of robot-assisted laparoscopic hysterectomy for complex enlarged uterus,and to provide individualized options for the clinical diagnosis and treatment decision.Methods:The clinical data of 193 patients who underwent robot-assisted laparoscopic hysterectomy for complex enlarged uterus in the General Hospital of Ningxia Medical University from April 2021 to November 2023 were retrospectively analyzed.They were divided into the robotic group(n=82)and the laparoscopic group(n=111)according to different surgical methods.The general data,perioperative indicators,complications,and perioperative indexes of large and giant uterus population were statistically analyzed.Results:Intraoperative bleeding,intraoperative blood transfusion rate,postoperative gastrointestinal function recovery time,postoperative hospitalization time,postoperative 12 h VAS scores,and postoperative complication rate of patients in the robotic group were significantly better than those in the laparoscopic group.However,there was no statistically significant difference between the two groups in terms of the incidence of intraoperative complication rate and operative time.In patients with large uterus,the robotic group had a lower intraoperative blood transfusion rate and shorter gastrointestinal function recovery time after surgery than the laparoscopic group.In patients with giant uterus,the robotic group showed shorter operative time,less intraoperative bleeding,lower intraoperative blood transfusion rate,shorter gastrointestinal function recovery time after surgery,longer postoperative hospitalization time than the laparoscopic group.Conclusion:Robot-assisted laparoscopic hysterectomy for enlarged uterus is safe and feasible,,and could help patients recover quickly,which is worthy of clinical promotion.
国家科技期刊平台
NSTL
万方数据
