[机器人辅助腹腔镜子宫肌瘤切除术：与开腹子宫肌瘤切除术的比较]
[Robot-assisted laparoscopic myomectomy: comparison with abdominal myomectomy].
作者信息
Ranisavljevic N, Mercier G, Masia F, Mares P, De Tayrac R, Triopon G
机构信息
Service de gynécologie-obstétrique, hôpital Caremeau, CHU de Nîmes, place du Professeur-R.-Debré, Nîmes cedex 9, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2012 Sep;41(5):439-44. doi: 10.1016/j.jgyn.2012.05.010. Epub 2012 Jun 27.
OBJECTIVE
To compare morbidity of robot-assisted laparoscopic myomectomy versus those performed by laparotomy.
PATIENTS AND METHODS
It reports a monocentric retrospective case matched analysis enrolling 22 patients (six laparotomic and 16 robot-assisted laparoscopic myomectomies), needing a surgical treatment for at least one myoma oversizing 6cm.
RESULTS
Both patient groups were comparable regarding their age, their weight and myoma's size. There were more complications in the laparotomy group in comparison with the robotic group (66.7%, versus 0%; P=0.002). Average intraoperative blood losses were respectively 397±377mL versus 387±349mL (P=0.71) and length of stay 7.2±0.8 days versus 3.9±2.8 days (P<0.001). None of the robot-assisted laparoscopic myomectomy needed any conversion to laparotomy.
CONCLUSION
Robot-assisted laparoscopic myomectomy seems to be feasible for heavy fibroids, with a lower morbidity in comparison with laparotomy. These results must be confirmed by several wider prospective studies.
目的
比较机器人辅助腹腔镜子宫肌瘤切除术与开腹子宫肌瘤切除术的发病率。
患者与方法
本研究报告了一项单中心回顾性病例对照分析，纳入22例患者（6例开腹手术和16例机器人辅助腹腔镜手术），这些患者因至少有一个直径大于6cm的肌瘤而需要手术治疗。
结果
两组患者在年龄、体重和肌瘤大小方面具有可比性。开腹手术组的并发症比机器人手术组更多（66.7% 对0%；P = 0.002）。术中平均失血量分别为397±377mL对387±349mL（P = 0.71），住院时间分别为7.2±0.8天对3.9±2.8天（P < 0.001）。所有机器人辅助腹腔镜子宫肌瘤切除术均无需转为开腹手术。
结论
机器人辅助腹腔镜子宫肌瘤切除术对于较大的肌瘤似乎是可行的，与开腹手术相比发病率更低。这些结果必须通过更多更广泛的前瞻性研究来证实。
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