title: [Clinical application of robotic plat form in the treatment of early ovarian cancer].
abstract: Objectives:To evaluate the feasibility and safety of robotic system in early ovarian cancer surgery.Methods:The clinical data of 131 patients with early ovarian cancer undergoing surgical treatment from November 2014 to November 2015 were reviewed retrospectively. There were 27 cases of early ovarian cancer, of which 9 cases of robotic group, 10 cases of laparoscopic group, 8 cases of laparotomy group. Age, Body Mass Index (BMI), preoperative neoadjuvant chemotherapy, operating time, operating method, intraoperative blood loss, intraoperative and postoperative complications, pathological type, lymph node dissection, postoperative exhaust time and postoperative hospital stay of all the patients were analyzed.Results:In the robot group, the mean operating time was( 251.4±58.7) minutes, the intraoperative blood loss was (208.9±202.7) ml, and the number of the main abdominal and pelvic lymph nodes was 27.8±8.9. The mean postoperative hospital stay was (11.1±3.5) days, and the mean postoperative hospital stay was( 2.0±0.5) days. All the patients were followed up for 12-24 months. There was no differences were observed among the three groups for operating time, complications, the blood loss, the number of lymph nodes, the hospital stay and survival time (P≥0.05).Conclusion:A robotic approach for the early ovarian cancer is feasible and effective. Compared with traditional laparoscopic surgery and laparotomy, there is no significant difference in operative effect and tumor-free survival. The robotic approach provides a new method for surgical treatment of early ovarian cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: M X
authors.initials: MX
authors.lastname: Ye
authors.forename: L
authors.initials: L
authors.lastname: Yu
authors.forename: W S
authors.initials: WS
authors.lastname: Fan
authors.forename: M
authors.initials: M
authors.lastname: Wang
authors.forename: L H
authors.initials: LH
authors.lastname: Bian
authors.forename: C L
authors.initials: CL
authors.lastname: Gu
authors.forename: L Y
authors.initials: LY
authors.lastname: Zhao
authors.forename: L A
authors.initials: LA
authors.lastname: Li
authors.forename: Y G
authors.initials: YG
authors.lastname: Meng
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures; D012371:Robotics; D016896:Treatment Outcome
keywords: Gynecologic Surgical Procedures; Minimally Invasive; Ovarian Neoplasms; Robotics