CAJ | 학술논문

目的：比较机器人辅助与传统腹腔镜两种手术方式行全子宫切除术的临床资料，探讨机器人手术系统的优势。方法回顾性分析吉林省肿瘤医院妇科肿瘤二科2014年10月至2014年12月使用机器人辅助腹腔镜下全子宫切除术（RALH）30例（机器人组），并选取同期与之匹配的采用传统腹腔镜全子宫切除术（LH）30例为腹腔镜组，观察数据包括两组的手术时间、术中出血量、术后24 h 引流量、术后首次排气时间及术后住院天数等。结果两组比较，机器人组术中出血量明显少于腹腔镜组，术后首次排气时间及住院时间均短于腹腔镜组，手术时间略长于腹腔镜组，差异有统计学意义（P ＜0．05）；术后24 h 引流量比较，差异无统计学意义（P ＞0．05）。结论机器人辅助腹腔镜手术具备术中出血少、损伤小、术后恢复快、患者痛苦小、平均住院天数缩短等优点，该手术方式安全可行，值得临床推广。
목적：비교궤기인보조여전통복강경량충수술방식행전자궁절제술적림상자료，탐토궤기인수술계통적우세。방법회고성분석길림성종류의원부과종류이과2014년10월지2014년12월사용궤기인보조복강경하전자궁절제술（RALH）30례（궤기인조），병선취동기여지필배적채용전통복강경전자궁절제술（LH）30례위복강경조，관찰수거포괄량조적수술시간、술중출혈량、술후24 h 인류량、술후수차배기시간급술후주원천수등。결과량조비교，궤기인조술중출혈량명현소우복강경조，술후수차배기시간급주원시간균단우복강경조，수술시간략장우복강경조，차이유통계학의의（P ＜0．05）；술후24 h 인류량비교，차이무통계학의의（P ＞0．05）。결론궤기인보조복강경수술구비술중출혈소、손상소、술후회복쾌、환자통고소、평균주원천수축단등우점，해수술방식안전가행，치득림상추엄。
Objective To compare the clinical data of robotic-assisted laparoscopic hysterectomy (RALH)and traditional laparoscopic hysterectomy (LH)and to explore the advantages of robotic surgery system.Methods A retrospective analysis of patients in Jilin Province Tumor Hospital Department 2 of Gynecologic Oncology from Oct.2014 to Dec.2014 undergoing RALH (n =30)was carried out.A matched group of 30 patients undergoing LH (n =30)was selected as the control group.The operating time,blood loss,postoperative 24 hours drainage,postoperative bowel recovery time and postoperative hospitalization length were observed.Results The blood loss was significantly less in patients with robotic laparoscopic group,postoperative bowel recovery time and hospital stay were shorter than the laparoscopic group,The operating time was slightly longer than the laparoscopic group,the two sets of data were significantly different (P <0.05).The comparison of postoperative 24 hours drainage between the two groups was not statistically significant (P >0.05).Conclusion Robotic-assisted laparoscopy is feasible and safe,worthy of promotion for less bleeding,less damage,faster recovery,less pain for patients and shortens the mean length of stay.