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新型单孔机器人妇科手术的初步结果与方法

Initial Outcomes and Methodologies of a Novel Single-Port Robotic Surgery in Gynecology.

作者信息

Gong Pijun, Mao Hui, He Tingting, Bai Li, Wang Haiyan, Zhao Jinyan, Ma Zheng, Xue Xiang

机构信息

Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China (all authors).

出版信息

JSLS. 2024 Oct-Dec;28(4). doi: 10.4293/JSLS.2024.00047. Epub 2025 Jan 17.

Abstract

BACKGROUND AND OBJECTIVES

The study aims to elucidate the initial results and methodologies employed in utilizing a recently introduced single-port (SP) robotic surgical system for the management for benign and malignant gynecological disorders.

METHODS

A total of 33 patients with benign or malignant gynecologic conditions between 2022 and 2024 were included, all patients underwent SP robotic surgery.

RESULTS

A total of 33 patients were successfully enrolled. The study participants demonstrated a mean age of 43.9 ± 11.9 years, a mean body mass index of 21.9 ± 3.0 kg/m, a mean operating time of 105.5 ± 52.4 minutes, and a mean estimated blood loss of 34.6 ± 30.5 mL. There were no cases of conversion to multiport laparoscopy or laparotomy, and only 1 patient developed postoperative fever. The postoperative pain score fell within an acceptable range, and satisfactory scar healing was seen in all cases.

CONCLUSIONS

The practicality and safety of the EDGE SP1000 system have been demonstrated in a subset of patients. However, more study and specific surgical skills are required to completely comprehend the benefits and long-term outcomes of robotic surgical systems.

摘要

背景与目的

本研究旨在阐明使用最近推出的单孔(SP)机器人手术系统治疗良性和恶性妇科疾病的初步结果及所采用的方法。

方法

纳入2022年至2024年间33例患有良性或恶性妇科疾病的患者,所有患者均接受了SP机器人手术。

结果

共成功纳入33例患者。研究参与者的平均年龄为43.9±11.9岁,平均体重指数为21.9±3.0kg/m,平均手术时间为105.5±52.4分钟,平均估计失血量为34.6±30.5mL。没有转为多端口腹腔镜手术或剖腹手术的病例,只有1例患者术后发热。术后疼痛评分在可接受范围内,所有病例的疤痕愈合情况良好。

结论

EDGE SP1000系统的实用性和安全性已在部分患者中得到证实。然而,需要更多的研究和特定的手术技能来全面理解机器人手术系统的益处和长期效果。

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Robotic laparoendoscopic single-site surgery in gynecology: A systematic review.妇科机器人腹腔镜单孔手术:一项系统综述。
Eur J Obstet Gynecol Reprod Biol. 2018 Dec;231:1-7. doi: 10.1016/j.ejogrb.2018.10.006. Epub 2018 Oct 3.

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Robotic Surgery: A Comprehensive Review of the Literature and Current Trends.机器人手术:文献综述与当前趋势
Cureus. 2023 Jul 24;15(7):e42370. doi: 10.7759/cureus.42370. eCollection 2023 Jul.

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