Zhang Ying, Chen Yisong, Hua Keqin
Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Int J Med Robot. 2017 Sep;13(3). doi: 10.1002/rcs.1821. Epub 2017 Mar 29.
To introduce our experience of robotic surgery of reconstructive uterovaginal anastomosis and operative outcomes in congenital cervical and vaginal atresia patients.
Clinical observation and follow-up of four patients with congenital cervical and vaginal atresia who underwent robotic reconstruction of cervix and vagina by SIS (small intestinal submucosa, SIS) graft.
Average patient age was 13.8 ± 2.2. Patients complained of severe periodic abdominal pain. Diagnosis was made according to clinical characteristics, physical examination, MRI and classified by ESHRE/ESGE system. All patients underwent reconstruction of cervix and vagina by uterovaginal anastomosis by SIS graft. Average operation time was 232.5 ± 89.2 min, average blood loss was 225.0 ± 95.7 mL. After surgery, all patients have regular menstruation without pain. Average follow up was 12 months, average vagina length was 8.9 ± 0.3 cm, average vagina width was 2.9 ± 0.1 cm.
Robotic assisted reconstruction of cervix and vagina is feasible from our experience, enlarged cases and additional studies are required.
介绍我们在先天性宫颈和阴道闭锁患者中进行机器人辅助子宫阴道吻合重建手术的经验及手术效果。
对4例先天性宫颈和阴道闭锁患者进行临床观察和随访，这些患者接受了小肠黏膜下层（SIS）移植的机器人辅助宫颈和阴道重建手术。
患者平均年龄为13.8±2.2岁。患者主诉严重的周期性腹痛。根据临床特征、体格检查、磁共振成像（MRI）进行诊断，并按照欧洲人类生殖与胚胎学会（ESHRE）/欧洲妇科内镜学会（ESGE）系统进行分类。所有患者均接受了SIS移植的子宫阴道吻合术进行宫颈和阴道重建。平均手术时间为232.5±89.2分钟，平均失血量为225.0±95.7毫升。术后，所有患者月经规律且无痛。平均随访12个月，平均阴道长度为8.9±0.3厘米，平均阴道宽度为2.9±0.1厘米。
根据我们的经验，机器人辅助宫颈和阴道重建是可行的，但需要扩大病例数并进行更多研究。
