Application of Da Vinci robot-assisted laparoscopic technique in radical hysterectomy for cervical cancer(with surgical video)
Objective:To explore the feasibility and safety of robot-assisted laparoscopic surgery in radical hysterectomy for cervical cancer.Methods:A total of 258 patients who underwent radical hysterectomy in the First Affiliated Hospital of Gannan Medical University from September 2019 to February 2022 were selected,including 86 patients in the robotic group and 172 patients in the laparoscopic group.The perioperative indicators of patients in the two groups were analyzed.Results:Compared with the laparoscopic group,the robotic group had shorter operative time and less intraoperative bleeding(P<0.05).The time of first exhausting,first feeding and first getting out of bed,the average length of hospital stay,the incidence rate of postoperative urinary retention,and the number of dissected paraaortic lymph nodes in the robotic group were better than those in the laparoscopic group(P<0.05).There was no significant difference between the two groups in intraoperative urinary and intestinal injury,postoperative lymphatic fistula,lower extremity venous thrombosis,pulmonary embolism,intestinal obstruction,undesirable healing of stump and vaginal fistula(P>0.05).Conclusion:Robot-assisted laparoscopic radical hysterectomy for cervical cancer has significant advantages over conventional laparoscopic surgery,which has shorter operative time,less intraoperative blood loss and faster postoperative recovery.It can be served as a safe and feasible option to treat cervical cancer,which is worthy of clinical recommendation.
Robot-assisted Laparoscopic TechniqueLaparoscopic SurgeryRadical Hysterectomy for Cervical Cancer
万方数据
维普
