Li Xue-Lian, Du Dan-Feng, Jiang Hua
a Department of Gynecology , OB/GYN Hospital, Fudan University , Shanghai , China.
b Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases , Shanghai , China.
Minim Invasive Ther Allied Technol. 2017 Apr;26(2):119-123. doi: 10.1080/13645706.2016.1228679. Epub 2016 Sep 26.
The comparison of robotic and conventional laparoscopic hysterectomy and pelvic lymphadenectomy in gynecologic cancer still needs to be studied. In all, 98 consecutive cases of patients with gynecologic cancer undergoing robot-assisted hysterectomy and pelvic lymphadenectomy, and another 98 consecutive cases of conventional laparoscopic hysterectomy and pelvic lymphadenectomy during the same period in the Obstetrics and Gynecology Hospital of Fudan University were included. The duration of the operation, blood loss, drainage during the first 24 h after the operation, total hospital stay, hospital stay after the operation, lymph nodes collected, perioperative complications, and the cost of each operation for both procedures were recorded. The duration of the operation was longer, and the cost of each operation was almost seven times higher in the robot group than that in the conventional laparoscopy group. But the differences with regard to blood loss, drainage during the first 24 h after the operation, total hospital stay, hospital stay after operation, the lymph nodes collected, and the rate of perioperative complications were not statistically significant. Robot-assisted surgery (RAS) in gynecologic cancer is as feasible as conventional laparoscopic surgery. We recommend further studies about the cost and effect of RAS in gynecologic cancer.
机器人辅助与传统腹腔镜子宫切除术及盆腔淋巴结清扫术在妇科癌症中的比较仍有待研究。复旦大学附属妇产科医院共纳入了98例连续接受机器人辅助子宫切除术及盆腔淋巴结清扫术的妇科癌症患者，以及同期98例连续接受传统腹腔镜子宫切除术及盆腔淋巴结清扫术的患者。记录了手术时长、出血量、术后24小时内引流量、总住院时间、术后住院时间、采集的淋巴结数量、围手术期并发症以及两种手术方式各自的每项手术费用。机器人组的手术时长更长，每项手术费用几乎是传统腹腔镜组的七倍。但在出血量、术后24小时内引流量、总住院时间、术后住院时间、采集的淋巴结数量以及围手术期并发症发生率方面的差异无统计学意义。妇科癌症中的机器人辅助手术（RAS）与传统腹腔镜手术一样可行。我们建议进一步研究RAS在妇科癌症中的成本效益。
