机器人辅助腹腔镜下深部壁间肌瘤切除术

Robot-assisted laparoscopic myomectomy for deep intramural myomas.

作者信息

Kang So Yeon, Jeung In-Cheul, Chung Youn-Jee, Kim Hyun-Kyung, Lee Chae Rim, Mansukhani Tanvi S, Kim Mee-Ran

机构信息

Seoul St. Mary's fibroid center, Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Department of Obstetrics and Gynecology, K.J Somaiya Medical College, India.

出版信息

Int J Med Robot. 2017 Jun;13(2). doi: 10.1002/rcs.1742. Epub 2016 Mar 16.

DOI:10.1002/rcs.1742

PMID:26989866

Abstract

BACKGROUND

To evaluate the efficacy of robot-assisted laparoscopic myomectomy for deep intramural myomas.

METHODS

We have conducted a retrospective study for 170 patients who underwent robot-assisted laparoscopic myomectomy by a single operator of tertiary university hospital.

RESULTS

There were 100 cases of robot-assisted laparoscopic myomectomy for deep intramural myomas. The patients had 3.8±3.5 myomas on average, and the mean size of the largest myoma of each patient was 7.5±2.1 centimeters in diameter. Mean operative time was 276.4±97.1 minutes, and mean console time was 146.0±62.7 minutes. Thirty two patients had surgeries for other gynecologic conditions such as pelvic endometriosis or endometrial polyps along with myomectomy at the same time. All the patients recovered without any major complication. After the surgery, nine(75.0 %) of the 12 women pursuing a pregnancy became pregnant.

CONCLUSION

摘要

背景

评估机器人辅助腹腔镜子宫肌瘤剔除术治疗深部肌壁间肌瘤的疗效。

方法

我们对一家三级大学医院的一名手术医生实施的170例接受机器人辅助腹腔镜子宫肌瘤剔除术的患者进行了回顾性研究。

结果

有100例患者接受了机器人辅助腹腔镜深部肌壁间子宫肌瘤剔除术。患者平均有3.8±3.5个肌瘤，每位患者最大肌瘤的平均直径为7.5±2.1厘米。平均手术时间为276.4±97.1分钟，平均控制台操作时间为146.0±62.7分钟。32例患者同时因其他妇科疾病如盆腔子宫内膜异位症或子宫内膜息肉而与子宫肌瘤剔除术一并接受手术。所有患者均康复，无任何严重并发症。术后，12名有妊娠意愿的女性中有9名（75.0%）成功怀孕。