Da Vinci robotic and laparoscopic surgery comparative analysis for the treatment of early endomertrial carcinoma

Abstract

Objective To compare the clinical data of Da Vinci robotic and laparoscpic surgical treatment of early endometrial carcinoma, discuss the Da Vinci robotic safety, feasibility, advantages and clinical application value. Methods A retrospective analysis of paients in Jilin Province Tumor Hospital from Jun. 2014 to Mar. 2016 undergoing was carried out, 53 patients (endometrial cancer Ⅰ - Ⅱ) surgery in patients with clinical data and treatment effect, including 14 cases of of DaVinci robotic group (robot), 39 cases of laparoscopic surgery group (laparoscopic). Results 53 patients were operated successfully completed, no transfer laparotomy and change.robots, laparoscopic group of operating time(190.2 ± 53.4)min, (164.5 ± 60.8)min; intraoperative blood loss, respectively(58.6 ± 28.7)ml, (126.3 ± 48.5)ml; the incidence of complications was 0 (0 / 14), 7.7% (3 / 39); duration of postoperative pain (26.4 ± 5.7)h, (31.3 ± 9.5)h; time average recovery of intestinal function (37.8 ± 16.9)h, (54.3 ± 15.2)h; after 48 hours of ml (153.7 ± 90.3)ml, (180.3 ± 54.8)ml; drainage tube indwelling time (98.2 ± 24.3)h, (126.3 ± 38.1)h; the mean postoperative such confinement(5.4 ± 1.5)d, (7.2 ± 2.1)d, above the difference was statistically significant (P 0.05). The above cases appear no complications such as bleeding, infection, urinary retention. Conclusions Da Vinci robotic in early endometrial cancer radical surgery safe and feasible, less bleeding, patients with small trauma, postoperative pain time is short, short recovery time of gastrointestinal tract and indwelling drainage tube time, average hospitalization days shorter, and low complications, worthy of clinical popularization and application. Key words: Early endomertrial carcinoma; The Da Vinci; Robotic laparoscopy