Robotic Uterine Artery Preservation and Nerve-Sparing Radical Trachelectomy With Bilateral Pelvic Lymphadenectomy in Early-Stage Cervical Cancer
Robotic Uterine Artery Preservation and Nerve-Sparing Radical Trachelectomy With Bilateral Pelvic Lymphadenectomy in Early-Stage Cervical Cancer
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DOI：
10.1097/igc.0b013e31820b3003
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发表时间：
2011-02-01
影响因子：
4.8
通讯作者：
Cho, Young Lae
中科院分区：
文献类型：
--
作者：
Hong, Dae Gy;Lee, Yoon Soon;Cho, Young Lae
目的：本研究的目的是评估机器人子宫动脉保留和神经保留根治性宫颈切除术与盆腔淋巴结清扫术的安全性和可行性，使用da芬奇surgical system.Methods：3例被诊断为早期宫颈癌的患者进行了机器人子宫动脉保留和神经保留根治性宫颈切除术与双侧淋巴结清扫术，从2010年1月至2010年3月。这些数据进行了比较，从2004年7月至2005年5月进行的4例全腹腔镜神经保留根治性气管切开术，和以前reported.Results：在机器人组，平均控制台时间为275分钟（范围，240-305分钟）。平均术后血红蛋白变化为0.4 g/dL（范围：0.2-0.6 g/dL）。平均估计失血量为23 mL（范围：15-40 mL），低于腹腔镜组。在任何情况下，没有检测到转移，和切除边缘是阴性的，在两个group.Conclusions：机器人子宫动脉保留和保留神经的根治性宫颈切除术盆腔淋巴结清扫术是有效的，在减少失血量和可行的方法，如其他途径。
Objective: The aim of the study was to evaluate the safety and feasibility of robotic uterine artery preservation and nerve-sparing radical trachelectomy with pelvic lymphadenectomy using the da Vinci surgical system.Methods: Three patients who were diagnosed with early-stage cervical cancer underwent robotic uterine artery preservation and nerve-sparing radical trachelectomy with bilateral lymphadenectomy from January 2010 to March 2010. The data were compared with those of 4 cases of total laparoscopic nerve-sparing radical trachelectomy that were performed from July 2004 to May 2005 and were previously reported.Results: In the robotic group, the mean console time was 275 minutes (range, 240-305 minutes). The mean postoperative hemoglobin change was 0.4 g/dL (range, 0.2-0.6 g/dL). The mean estimated blood loss was 23 mL (range, 15-40 mL), which is less than that of the laparoscopic group. There were no metastases detected in any of the cases, and the resection margins were negative in both groups.Conclusions: The robotic uterine artery preservation and nerve-sparing radical trachelectomy with pelvic lymphadenectomy were efficient in reducing blood loss and feasible methods such as other approaches.