A Comparative Study Of Da Vinci Robot And Traditional Laparoscopy In Cervical Cancer Surgery

Objective: To analyze the patient data of Da Vinci robotic surgery and traditional laparoscopic surgery in cervical cancer patients who underwent cervix suspensions without uterine manipulator,to explore the application of the two surgical methods in radical cervical cancer surgery,and the application advantages of Da Vinci robotic surgery in cervical cancer surgery compared with traditional laparoscopic surgery.Methods: Data of 105 cases of cervical cancer who underwent radical cervical cancer resection without uterine manipulator from December 2020 to January 2022,including 45 patients who underwent Da Vinci robotic surgery and 60 patients who underwent laparoscopic surgery.The basic information（such as age,BMI,complications）,the operation-related indicators（such as operative time,estimated intraoperative blood loss,number of removed lymph nodes,postoperative intestinal ventilation time）,postoperative examination results and postoperative complications were compared to explore the advantages and disadvantages of the two surgical methods in radical cervical cancer surgery.Results:1.In the basic data,preoperative anemia showed statistically significant differences between the two groups[15（33.3%）vs 5（8.3%）,P<0.05],while there were no significant differences in age,BMI and FIGO stage between the two groups（P>0.05）.2.Compared with the laparoscopic group,robot group the total number of lymph node dissection was more [（33.51±8.74）vs（29.03±10.54）],the duration of abdominal drainage tube placement was shorter [（4.42±1.2）d vs（5.02±1.59）d],and the duration of urinary tube placement was shorter [（10.31±2.16）d] V s（11.37±2.03）d],postoperative intestinal ventilation time was earlier [2（1,2）d vs 2（2,3）d],the difference was statistically significant（P<0.05）.3.In terms of surgery-related indexes of obese patients,postoperative intes tinal ventilation time in the robot group was earlier than that in the laparoscop ic group [2（2,2）d vs 2（2,3.5）d],with statistically significant difference（P<0.05）,while other surgery-related indexes such as operation time showed no sign ificant difference between the two groups（P>0.05）.4.There were no significant differences in postoperative complications and postoperative pathological examination results between the two groups（P>0.05）.5.No recurrence or death was found in the short-term follow-up of the t wo groups,and no difference was found in the short-term efficacy.Conclusion:1.Da Vinci robot and traditional laparoscopy in the radical operation of cervical cancer without uterine manipulator are more in line with the principle of tumor-free technology in terms of surgical methods.2.Compared with traditional laparoscopic surgery,Da Vinci robot surgery has more advantages in total number of lymph node resection,time of abdominal drainage tube placement,time of postoperative urinary duct placement and postoperative intestinal ventilation time.3.Compared with traditional laparoscopic surgery,robotic surgery has more advantages in postoperative intestinal ventilation time in obese patients.4.The efficacy of robotic and laparoscopic radical resection of cervical carcinoma is similar in short-term follow-up,but the long-term efficacy needs further follow-up verification.