CAJ | 학술논문

目的：探讨达芬奇机器人手术系统辅助腹腔镜子宫肌瘤剥除手术的安全性与可行性。方法回顾性总结2012年12月至2013年10月实施的16例达芬奇机器人辅助子宫肌瘤剥除手术的治疗效果。结果16例患者手术均顺利完成，无中转开腹。手术时间（170.0±45.3）min，术中失血量（196.9±186.9）ml，术后肠蠕动恢复时间为（45.1±8.2）h，术后住院时间（4.2±1.5）d，除1例术后出现尿潴留，留置尿管3d后恢复排尿功能外，未出现出血、感染等并发症。结论达芬奇机器人手术系统应用于子宫肌瘤剥除手术安全可行。
목적：탐토체분기궤기인수술계통보조복강경자궁기류박제수술적안전성여가행성。방법회고성총결2012년12월지2013년10월실시적16례체분기궤기인보조자궁기류박제수술적치료효과。결과16례환자수술균순리완성，무중전개복。수술시간（170.0±45.3）min，술중실혈량（196.9±186.9）ml，술후장연동회복시간위（45.1±8.2）h，술후주원시간（4.2±1.5）d，제1례술후출현뇨저류，류치뇨관3d후회복배뇨공능외，미출현출혈、감염등병발증。결론체분기궤기인수술계통응용우자궁기류박제수술안전가행。
Objective To investigate the safety and feasibility of robotic-assisted laparoscopic hysteromyoma enucleation. Methods The clinical outcomes of 16 patients with hysteromyoma undergoing robotic-assisted laparoscopic enucleation from December 2012 to October 2013 were retrospectively evaluated. Results All the operations were performed successfully.The operative time was(170.0 ± 45.3)min.The estimated blood loss was(196.9 ± 186.9)m1.Time to the return of bowel function was(45.1 ± 8.2)h and postoperative hospital stay was (4.2 ± 1.5)d. There was one patient had a retention of urine at the first afternoon after operation,and recovered after 3-days-long indwelling catheter.No bleeding,infections,or other complications were found. Conclusion Robotic-assisted laparoscopic hysteromyoma enucleation is safe and feasible.