妊娠期间附件肿块的机器人切除术。
Robotic resection of adnexal masses during pregnancy.
机构信息
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC 27599, USA.
出版信息
Am J Perinatol. 2013 May;30(5):371-5. doi: 10.1055/s-0032-1324705. Epub 2012 Aug 14.
OBJECTIVE
To characterize the safety and feasibility of robotic adnexal surgery during pregnancy, and to compare surgical and obstetric outcomes for robotic versus laparoscopic treatment of adnexal masses during pregnancy.
STUDY DESIGN
A retrospective cohort study of all cases of robotic resection of adnexal masses in gravid patients performed at our institution between 2006 and 2009 compared with 50 consecutive historic laparoscopic controls performed between 1999 and 2007.
RESULTS
During the study period, 19 parturients underwent planned robotic resection of adnexal masses, all of which were uncomplicated. Compared with 50 consecutive laparoscopic controls, no differences in operative time, conversion to laparotomy, intraoperative or postoperative complications, or observed obstetric outcomes were apparent. The robotic cohort had a significantly shorter length of hospital stay (p < 0.01) and estimated blood loss (p = 0.02).
CONCLUSION
Robotic resection of adnexal masses during pregnancy appears both safe and feasible, with similar surgical outcomes when compared with a historic laparoscopic cohort.
目的
描述妊娠期间机器人附件手术的安全性和可行性，并比较妊娠期间机器人与腹腔镜治疗附件肿块的手术和产科结局。
研究设计
回顾性队列研究，比较了 2006 年至 2009 年期间我院进行的所有机器人附件肿块切除术病例与 1999 年至 2007 年期间进行的 50 例连续历史腹腔镜对照病例。
结果
在研究期间，19 名产妇计划行机器人附件肿块切除术，均无并发症。与 50 例连续腹腔镜对照相比，手术时间、中转开腹、术中或术后并发症或观察到的产科结局均无差异。机器人组的住院时间（p < 0.01）和估计出血量（p = 0.02）明显较短。
结论
妊娠期间机器人附件切除术既安全又可行，与历史腹腔镜组相比，手术结果相似。
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