达芬奇 SP®手术系统机器人单孔手术治疗妇科良性疾病的初步报告。

Robotic single-port surgery using the da Vinci SP® surgical system for benign gynecologic disease: A preliminary report.

机构信息

The Department of Obstetrics and Gynecology, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.

The Department of Obstetrics and Gynecology, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.

出版信息

Taiwan J Obstet Gynecol. 2020 Mar;59(2):243-247. doi: 10.1016/j.tjog.2020.01.012.

DOI:10.1016/j.tjog.2020.01.012

PMID:32127145

Abstract

OBJECTIVE

We aimed to present our initial experience with robotic single-port surgery performed using the da Vinci® SP surgical system for benign gynecologic diseases.

MATERIALS AND METHODS

This retrospective cohort study was performed at an academic tertiary care hospital From December 2018 to January 2019. Thirty-one women with benign gynecologic diseases underwent robotic single-port surgery performed using the da Vinci® SP surgical system.

RESULTS

During the study period, hysterectomy, myomectomy, adnexectomy, and sacrocolpopexy were performed in seven, twelve, five, and seven women, respectively. The mean age and body mass index of patients, respectively, were 47.7 ± 12.8 years and 22.7 ± 3.1 kg/m. In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization time were 2.2 ± 2.1 min, 126.3 ± 61.6 min, 93.9 ± 76.9 mL, and 4.6 ± 0.7 days. There was no laparoconversion or major complication.

CONCLUSION

Robotic single-port laparoscopy using the da Vinci® SP surgical system might be a suitable alternative surgical technique for various benign gynecologic diseases. However, further studies are required to clarify the feasibility and safety of the application of this novel robot surgical system.

摘要

目的

我们旨在介绍使用达芬奇 SP 手术系统进行机器人单孔手术治疗良性妇科疾病的初步经验。

材料和方法

这是一项回顾性队列研究，于 2018 年 12 月至 2019 年 1 月在一家学术性三级保健医院进行。31 名患有良性妇科疾病的女性接受了使用达芬奇 SP 手术系统进行的机器人单孔手术。

结果

在研究期间，分别有 7 名、12 名、5 名和 7 名女性接受了子宫切除术、子宫肌瘤切除术、附件切除术和骶骨阴道固定术。患者的平均年龄和体重指数分别为 47.7±12.8 岁和 22.7±3.1kg/m。在手术结果方面，平均对接时间、手术时间、估计出血量和住院时间分别为 2.2±2.1 分钟、126.3±61.6 分钟、93.9±76.9 毫升和 4.6±0.7 天。无腹腔镜中转或严重并发症。