Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
J Robot Surg. 2023 Aug;17(4):1421-1427. doi: 10.1007/s11701-023-01527-9. Epub 2023 Jan 30.
This study aimed to review the surgical outcomes of supracervical hysterectomy using the da Vinci SP surgical system and conventional single-site laparoscopic surgery for uterine fibroids. This study included 79 patients who underwent supracervical hysterectomy with the da Vinci SP surgical system and conventional single-site laparoscopy for uterine fibroid between June 2018 and April 2021. All the surgeries were performed by an experienced surgeon. Surgical outcomes and complications were reviewed in both groups. No significant difference was found between the two groups with regards to the patients' preoperative surgical conditions such as weight of the uterus, history of pelvic surgery, and pelvic adhesion. A significantly longer operation time (p < 0.01) and higher levels of C-reactive protein (p < 0.01) were found in the robotic surgery group; in particular, the uterus-out time was significantly longer (p < 0.01). No significant differences were found in other surgical outcomes such as complication rates and hospital stays. Supracervical hysterectomy using the da Vinci SP surgical system is comparable to conventional single-site laparoscopy in uncomplicated cases. However, it requires a significantly longer operative time and has a higher inflammatory response.
本研究旨在回顾使用达芬奇 SP 手术系统行经宫颈子宫切除术与传统单孔腹腔镜手术治疗子宫肌瘤的手术结果。本研究纳入了 2018 年 6 月至 2021 年 4 月期间接受达芬奇 SP 手术系统行经宫颈子宫切除术与传统单孔腹腔镜手术治疗子宫肌瘤的 79 例患者。所有手术均由一位经验丰富的外科医生完成。对两组患者的手术结果和并发症进行了回顾。两组患者的术前手术条件（如子宫重量、盆腔手术史和盆腔粘连）无显著差异。机器人手术组的手术时间明显更长（p<0.01），C 反应蛋白水平更高（p<0.01）；特别是子宫取出时间明显更长（p<0.01）。两组患者的其他手术结果（如并发症发生率和住院时间）无显著差异。在无并发症的情况下，使用达芬奇 SP 手术系统行经宫颈子宫切除术与传统单孔腹腔镜手术相当。然而，它需要更长的手术时间，且炎症反应更高。
