Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Northwestern University, Chicago, IL, USA.
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Feinberg School of Medicine, Northwestern University, 250 East Superior Street, Suite 5-2168, Chicago, IL, 60611, USA.
J Robot Surg. 2009 Mar;3(1):19. doi: 10.1007/s11701-009-0131-0. Epub 2009 Feb 27.
A robotics surgery program was introduced into the division of gynecologic oncology at Northwestern University Feinberg School of Medicine in June 2007. A prospective database of all patients undergoing a type III radical hysterectomy for stage IB1 cervical cancer between July 2007 and June 2008 was collected and analyzed. Demographic data and perioperative outcomes were analyzed between a traditional and robot-assisted approach. A total of 14 patients were identified who underwent a type III radical hysterectomy for stage IB1 cervical cancer. Seven patients underwent robotic surgery and seven patients underwent traditional surgery. There were no significant differences in median age or body mass index between the two groups. A significant difference in blood loss between robotic (75 cc) and traditional (700 cc) surgery was detected (P = 0.002). A significant difference in hospital stay between robotic (1 day) and traditional (5 days) surgery was observed (P = 0.0007). No significant difference in operative time (260 vs. 264 min) or lymph node yield (19 and 14) was identified between the robotic and traditional approaches. No major operative complications occurred with robotic radical hysterectomy. Robot-assisted radical hysterectomy was associated with a significant reduction in blood loss and hospital stay. Improved nodal yields, fewer operative complications, and less pain was observed with the robotic approach. Robot-assisted radical hysterectomy appears safe and feasible and further investigation is warranted in a prospective fashion.
2007 年 6 月，西北大学范伯格医学院妇科肿瘤学系引入了机器人手术项目。收集并分析了 2007 年 7 月至 2008 年 6 月期间所有接受 III 型根治性子宫切除术治疗 IB1 期宫颈癌的患者的前瞻性数据库。分析了传统手术与机器人辅助手术之间的人口统计学数据和围手术期结果。共确定了 14 例接受 III 型根治性子宫切除术治疗 IB1 期宫颈癌的患者。7 例患者接受机器人手术，7 例患者接受传统手术。两组患者的中位年龄或体重指数无显著差异。机器人组（75 cc）和传统组（700 cc）手术的出血量有显著差异（P=0.002）。机器人组（1 天）和传统组（5 天）手术的住院时间有显著差异（P=0.0007）。机器人组和传统组的手术时间（260 分钟与 264 分钟）或淋巴结产量（19 个与 14 个）无显著差异。机器人根治性子宫切除术无重大手术并发症。机器人辅助根治性子宫切除术与出血量和住院时间显著减少相关。机器人手术观察到淋巴结产量增加、手术并发症减少和疼痛减轻。机器人辅助根治性子宫切除术似乎安全可行，需要前瞻性研究进一步证实。
