Comparison Of Clinical Effects Between Robotic And Conventional Laparoscopic Operation In The Treatment Of Endometrial Cancer

Objective Through the collection of clinical data and using the statistical method of multiple regression models,analysis of the the advantages and disadvantages of the two surgical methods of robotic and laparoscopic surgery in the treatment of patients with endometrial cancer,and further evaluation of robotic surgery safety and effectiveness in the clinic.Methods The clinical data of 100 patients(robot group)undergoing robot-assisted laparoscopic endometrial cancer surgery in the department of gynecology of Gansu Provincial Hospital from February 2014 to February 2018 were retrospectively analyzed.Ninety patients who underwent conventional laparoscopic endometrial cancer surgery at the same time were selected as the control group(laparoscopic group).The operation time,the estimated blood loss,the number of harvested lymph nodes,the first ventilation time,the first feeding time,the catheter placement time,the postoperative hospital stay,the postoperative complications and other related indicators were compared between the two groups.And patients in both groups were followed up.Therefore,it is concluded that compared with conventional laparoscopic surgery for endometrial cancer patients,the advantages and disadvantages of robotic surgical operating system.Results The robotic group had shorter operation time(?=-40.89,95%CI:-55.32~-20.45,P=0.007)and more lymph node harvested(?=8.21,95%CI:3.44~8.91,P=0.004)than the laparoscopic group.The catheter placement time(?=-0.98,95%CI:-2.61~1.01,P=0.045)and postoperative hospital stay(?=-5.50,95%CI:-10.11 ~-0.67,P=0.030)of the robotic group were shorter than those of the laparoscopic group.There were no significant difference in the amount of the estimated blood loss(?=20.56,95%CI:2.61~40.71,P=0.565),the time of first ventilation(?=0.78,95%CI:-3.65~2.51,P=0.459),the time of first feeding(?=-0.76,95%CI:-6.52~1.56,P=0.654)or postoperative complications(OR =0.89,95%CI:0.12~4.02,P=0.672).Conclusions Robotic assisted treatment of endometrial cancer is safe and effective,and provides an alternative for patients with endometrial cancer.