Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Gynecol Oncol. 2015 Jan;26(1):62-7. doi: 10.3802/jgo.2015.26.1.62.
To discuss the feasibility of single-site robotic surgery for benign gynecologic tumors and early stage gynecologic cancers.
In this single institution, prospective analysis, we analyzed six patients who had undergone single-site robotic surgery between December 2013 and August 2014. Surgery was performed using the da Vinci Si Surgical System. Patient characteristics and surgical outcomes were analyzed.
Single-site robotic surgery was performed successfully in all six cases. The median patient age was 48 years, and the median body mass index was 25.5 kg/m² (range, 22 to 33 kg/m²). The median total operative time was 211 minutes, and the median duration of intracorporeal vaginal cuff suturing was 32 minutes (range, 22 to 47 minutes). The median duration of pelvic lymph node dissection was 31 minutes on one side and 27 minutes on the other side. Patients' postoperative courses were uneventful. The median postoperative hospital stay was 4 days. No postoperative complications occurred.
When used to treat benign gynecologic tumors and early stage gynecologic cancers, the single-site da Vinci robotic surgery is feasible, safe, and produces favorable surgical outcomes.
探讨单部位机器人手术治疗良性妇科肿瘤和早期妇科癌症的可行性。
在这项单中心前瞻性分析中，我们分析了 2013 年 12 月至 2014 年 8 月期间接受单部位机器人手术的 6 例患者。手术采用达芬奇 Si 手术系统进行。分析患者的特征和手术结果。
6 例患者均成功完成单部位机器人手术。中位患者年龄为 48 岁，中位体重指数为 25.5 kg/m²（范围 22 至 33 kg/m²）。中位总手术时间为 211 分钟，中位经阴道残端缝合的腔内时间为 32 分钟（范围 22 至 47 分钟）。中位单侧盆腔淋巴结清扫时间为 31 分钟，对侧为 27 分钟。患者术后均恢复顺利。中位术后住院时间为 4 天。无术后并发症发生。
单部位达芬奇机器人手术治疗良性妇科肿瘤和早期妇科癌症是可行、安全的，可获得良好的手术效果。
