目的:探究第四代达芬奇机器人辅助腹腔镜与传统宫颈癌根治术的临床初期效果.方法:选取2022年2 月—2024 年 2 月于西北妇女儿童医院行宫颈癌根治术的100 例患者病例资料实施回顾性研究,按照治疗方式的不同分为传统组(n=56,行传统腹腔镜宫颈癌根治术)和机器人组(n=44,行第四代达芬奇机器人辅助腹腔镜宫颈癌根治术).比较两组患者手术指标、术后恢复效果、应激指标、并发症的差异.结果:两组患者尿管重置率比较,差异无统计学意义(P>0.05);与传统组相比,机器人组患者术中出血量、手术时间、术后补液量均更低,淋巴清扫个数更多,首次肛门排气时间、首次排便时间、留置尿管时间、术后住院时间均更低,并发症总发生率更低,差异有统计学意义(P<0.05).与术前相比,术后3 d两组患者CRP、IL-8、TNF-α均升高,差异有统计学意义(P<0.05);但机器人组患者术后 3 d CRP、IL-8、TNF-α升高水平小于传统组,差异有统计学意义(P<0.05).结论:相较于传统腹腔镜宫颈癌根治术,机器人辅助腹腔镜宫颈癌根治术临床效果应用更好,可有效促进术后恢复,缓解应激反应,减少并发症发生率.
Comparison of initial clinical efficacy of robot-assisted and conventional laparoscopic radical surgery for cervical cancer
Objective:To compare the initial clinical effect of Da Vinci robot-assisted and conventional laparoscopic radical surgery for cervical cancer.Methods:Clinical data of 100 patients who underwent radical surgery for cervical cancer in Northwest Women and Children's Hospital from February 2022 to February 2024 were retrospectively analyzed.According to different surgical methods,they were divided into the conventional laparoscopic radical surgery group(Conventional group,n=56)and the Da Vinci robot-assisted laparoscopic radical surgery group(Robotic group,n=44).Surgical indicators,postoperative recovery conditions,stress indexes and complications were compared between the two groups.Results:There was no statistically significant difference in the replacement rate of urinary catheters between the two groups(P>0.05).Compared with the conventional group,the robotic group had lower intraoperative bleeding,shorter operative time,less fluid infusion volume after surgery,and more dissected lymph nodes(P<0.05).Compared with the conventional group,the robotic group had less time to first anal exhaust and defecation,lower catheter indwelling time,and shorter length of hospital stay after surgery(P<0.05).Compared with that before surgery,CRP,IL-8 and TNF-ɑ levels were raised in the two groups(P<0.05).However,levels of CRP,IL-8 and TNF-ɑ3 d after surgery were higher in the robotic group than those in the conventional group(P<0.05).Compared with the conventional group,the robotic group had a lower overall incidence rate of complications(P<0.05).Conclusion:Compared to the conventional laparoscopic radical surgery,robot-assisted laparoscopic radical surgery has better clinical efficacy in the treatment of cervical cancer,which can effectively promote postoperative recovery,alleviate stress reactions,and reduce the incidence of complications.
Cervical CancerRobot-assisted SurgeryRadical Surgery for Cervical CancerEfficacyStress Response
万方数据
维普
