Department of Medical and Surgical Gynecology, Mayo Clinic in Arizona, Phoenix, AZ 85054, USA.
Int J Med Robot. 2012 Jun;8(2):206-9. doi: 10.1002/rcs.454. Epub 2012 Feb 28.
The objective of this research was to evaluate the feasibility of robotic nerve-sparing radical parametrectomy for cervical cancer after simple hysterectomy.
A 41 year-old patient was diagnosed with invasive cervical adenocarcinoma after simple hysterectomy. Hysterectomy margins were negative. A robotic nerve-sparing radical parametrectomy was offered and performed 5 weeks later.
Total operating time was 330 min, blood loss was 145 ml and length of hospitalization 2 days. Pathology revealed no residual tumour. Normal bladder function resumed on postoperative day 9. At a follow-up of 16 months, the patient remains with no evidence of disease and with normal bladder and bowel function.
Robotic nerve-sparing radical parametrectomy is safe and feasible and can be offered to patients with indications for radical parametrectomy.
本研究旨在评估简单子宫切除术后行机器人辅助保留神经的根治性宫旁切除术治疗宫颈癌的可行性。
一位 41 岁的患者在接受简单子宫切除术后被诊断为浸润性宫颈腺癌。子宫切除切缘阴性。我们为其提供并实施了机器人辅助保留神经的根治性宫旁切除术，手术时间为 5 周后。
总手术时间为 330 分钟，术中出血量为 145 毫升，住院时间为 2 天。术后第 9 天，患者膀胱功能恢复正常。随访 16 个月，患者无疾病证据，且膀胱和肠道功能正常。
机器人辅助保留神经的根治性宫旁切除术安全可行，可适用于有根治性宫旁切除术指征的患者。
