南方医科大学学报

南方医科大学学报 ›› 2022, Vol. 42 ›› Issue (2): 305-308.doi: 10.12122/j.issn.1673-4254.2022.02.20

• • 上一篇    

机器人辅助腹腔镜全子宫切除治疗巨大子宫肌瘤伴盆腔复杂粘连：附1例报告

陈梦雨，王 楠，叶艳箐，王铭洋，李 震，孟元光，叶明侠   

  1. 解放军总医院妇产医学部第一医学中心，北京 100853
  • 出版日期:2022-02-20 发布日期:2022-03-16

Robot-assisted laparoscopic total hysterectomy in a patient with giant uterine fibroids and complex pelvic adhesions: a case report

CHEN Mengyu, WANG Nan, YE Yanqing, WANG Mingyang, LI Zhen, MENG Yuanguang, YE Mingxia   

  1. Department of Obstetrics and Gynecology, General Hospital of PLA, Beijing 100853, China
  • Online:2022-02-20 Published:2022-03-16

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摘要： 目的 报告机器人辅助腹腔镜全子宫双侧输卵管切除治疗巨大子宫肌瘤伴盆腔复杂粘连患者l例，结合文献讨论该病的临床症状、手术术式及机器人手术的优势。方法 患者1998年体检发现子宫肌瘤后未予治疗，定期复查提示肌瘤逐渐增长。超声提示多发子宫肌瘤，盆腔MRI提示巨大子宫肌瘤伴出血。结果 完善相关检查后行机器人辅助腹腔镜全子宫+双侧输卵管切除术，手术进展顺利，患者术后4 d出院，腹壁美观，随访恢复良好。结论 机器人辅助腹腔镜因其特有的优势，为巨大子宫切除伴盆腔复杂粘连患者提供了微创手术入路选择。

关键词: 子宫切除；微创手术；机器人手术

Abstract: We report a case of giant hysteromyoma and complex pelvic adhesion treated by robotic assisted laparoscopic total hysterectomy and bilateral salpingectomy. The patient was diagnosed with uterine fibroids after physical examination in 1998 but did not receive any treatment, and regular examinations reported progressive growth of the fibroids. Ultrasound suggested multiple uterine fibroids, and pelvic MRI indicated large uterine fibroids with bleeding. Robot-assisted laparoscopic total hysterectomy and bilateral salpingectomy were performed after relevant examinations, and the operation was completed smoothly. The patient was discharged 4 days after surgery with good appearance of the abdominal wall and good recovery during the follow-up. With its unique advantages, robot-assisted laparoscopy provides a minimally invasive surgical approach for giant hysterectomy with complex pelvic adhesions.

Key words: hysterectomy; minimally invasive surgery; robotic surgery