Nezhat Camran, Lavie Ofer, Lemyre Madeleine, Gemer Ofer, Bhagan Lisa, Nezhat Ceana
Center for Special Minimally Invasive Surgery, Stanford University Medical Center, Palo Alto, California 94304, USA.
JSLS. 2009 Apr-Jun;13(2):125-8.
To compare robotic-assisted laparoscopic hysterectomy (RALH) with a matched control group of standard laparoscopic hysterectomy (LH).
A retrospective chart review of all RALH was performed. All cases were compared with a matched control group of standard LH. Comparisons were based on Fisher's exact, Mann-Whitney, and exact chi-square tests.
Between January 2006 and August 2007, 26 consecutive RALH were performed (10 with bilateral salpingo-oophorectomy). These were compared with 50 matched control standard LH (22 with bilateral salpingo-oophorectomy). The 2 groups were matched by age (P=0.49), body mass index (P=0.25), gravidity (P=0.11), previous abdomino-pelvic surgery (P=0.37), and size of the excised uterus (P=0.72). Mean surgical time for RALH was 276 minutes (range, 150 to 440) compared with 206 minutes (range, 110 to 420) for standard LH (P=0.01). Blood loss, hospitalization length, and postoperative complications were not significantly different. No conversion to laparotomy was reported in either group.
Robotic technology was successfully used for hysterectomy with a similar surgical outcome to that of standard LH. This technology offers exciting potential applications, especially for remote telesurgery, and to facilitate teaching of endoscopic surgery.
比较机器人辅助腹腔镜子宫切除术（RALH）与标准腹腔镜子宫切除术（LH）的匹配对照组。
对所有RALH病例进行回顾性图表审查。所有病例与标准LH的匹配对照组进行比较。比较基于Fisher精确检验、Mann-Whitney检验和精确卡方检验。
在2006年1月至2007年8月期间，连续进行了26例RALH（10例双侧输卵管卵巢切除术）。将这些病例与50例匹配的标准LH对照组（22例双侧输卵管卵巢切除术）进行比较。两组在年龄（P = 0.49）、体重指数（P = 0.25）、妊娠次数（P = 0.11）、既往腹部盆腔手术史（P = 0.37）和切除子宫大小（P = 0.72）方面相匹配。RALH的平均手术时间为276分钟（范围150至440分钟），而标准LH为206分钟（范围110至420分钟）（P = 0.01）。失血、住院时间和术后并发症无显著差异。两组均未报告转为开腹手术。
机器人技术成功用于子宫切除术，手术结果与标准LH相似。该技术具有令人兴奋的潜在应用，特别是对于远程远程手术，并有助于内镜手术教学。
