早期子宫内膜癌的机器人单孔与机器人单部位子宫切除术：一项病例对照研究。
Robotic Single-Port Versus Robotic Single-Site Hysterectomy in Early Endometrial Cancer: A Case Control Study.
作者信息
Vizza Riccardo, Corrado Giacomo, Bruno Valentina, Baiocco Ermelinda, Zorzato Pier Carlo, Uccella Stefano, Vizza Enrico
机构信息
Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC Ginecologia Oncologica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
出版信息
Int J Med Robot. 2025 Oct;21(5):e70107. doi: 10.1002/rcs.70107.
OBJECTIVE
To compare surgical outcomes of robotic single-port (RSPH) versus single-site (RSSH) hysterectomy in early-stage endometrial cancer.
METHODS
This is a retrospective case-control study, comparing surgical outcomes of RSPH (Cases) and RSSH (Controls) in early-stage endometrial cancer.
RESULTS
Twenty-five women who underwent RSPH from June 2024 to November 2024 were matched with 50 historical RSSH controls treated at the same institution by the same surgical team between December 2011 and September 2014. Operation time was similar: 110 min in RSPH and 99 min in RSSH (p = 0.76). Blood loss was 50 mL in RSPH and 60 mL in RSSH (p = 0.14). Hospital stay was shorter in RSSH (3.5 days in RSPH and 3 days in RSSH, p = 0.001).
CONCLUSIONS
Our study confirms the safety and feasibility of RSPH for endometrial cancer without major differences from the RSSH in terms of surgical outcomes.
目的
比较机器人单孔（RSPH）与单切口（RSSH）子宫切除术治疗早期子宫内膜癌的手术效果。
方法
这是一项回顾性病例对照研究，比较RSPH（病例组）和RSSH（对照组）治疗早期子宫内膜癌的手术效果。
结果
2024年6月至2024年11月接受RSPH的25名女性与2011年12月至2014年9月在同一机构由同一手术团队治疗的50名历史RSSH对照者进行匹配。手术时间相似：RSPH为110分钟，RSSH为99分钟（p = 0.76）。RSPH失血50毫升，RSSH失血60毫升（p = 0.14）。RSSH的住院时间更短（RSPH为3.5天，RSSH为3天，p = 0.001）。
结论
我们的研究证实了RSPH治疗子宫内膜癌的安全性和可行性，在手术效果方面与RSSH无重大差异。
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