The surgical treatment of female primary pelvic retroperitoneal tumours: A retrospective study of 99 patients from a single centre in China

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2023-10-30 DOI:10.1002/rcs.2591

Xueyan Liu, Mengling Zhao, Hanlin Fu, Lulu Si, Qian Wang, Meng Mao, Ying Zhu, Ruixia Guo

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Abstract

Background

To summarise the application of minimally invasive surgery for female primary pelvic retroperitoneal tumours (PPRTs).

Methods

The clinical data of PPRT in a hospital between January 2017 and August 2022 were retrospectively collected. Surgical outcomes for cystic and solid tumours and two minimally invasive techniques were compared.

Results

99 patients were included. Cystic tumours had fewer intraoperative injuries (4.0% vs. 28.0%, p < 0.001) than solid tumours. Robot-assisted laparoscopy (RALS) seemed to have fewer intraoperative complications (8.3% vs. 35.1%, p = 0.156) than conventional laparoscopy (CLS) in solid tumours. For cystic tumours, RALS included larger tumour sizes and longer operative times (p < 0.05), but intraoperative injury was comparable to CLS. RALS exhibited a higher cost than CLS in all tumours.

Conclusions

Minimally invasive surgery for solid PPRTs tends to be more difficult than for cystic tumours, and RALS has a slight advantage over CLS with respect to short-term PPRT outcomes.

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女性原发性盆腔腹膜后肿瘤的外科治疗：来自中国一个中心的99名患者的回顾性研究。

背景：总结微创手术在女性原发性盆腔腹膜后肿瘤（PPRTs）中的应用。方法：回顾性收集2017年1月至2022年8月某医院PPRT的临床资料。比较囊性肿瘤和实体瘤的手术结果以及两种微创技术。结果：纳入患者99例。囊性肿瘤的术中损伤比实体瘤少（4.0%对28.0%，p＜0.001）。在实体瘤中，机器人辅助腹腔镜（RALS）的术中并发症似乎比传统腹腔镜（CLS）少（8.3%vs.35.1%，p=0.156）。对于囊性肿瘤，RALS包括更大的肿瘤大小和更长的手术时间（p结论：实体性PPRT的微创手术往往比囊性肿瘤更困难，并且在短期PPRT结果方面，RALS比CLS稍有优势。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.