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首页> 外文期刊>Journal of robotic surgery >Manual morcellation compared to power morcellation during robotic myomectomy
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Manual morcellation compared to power morcellation during robotic myomectomy

机译：手动Morcellation与机器人心肌切除术期间的电力涡流相比

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Clinical practice has drastically changed following the 2014 U.S. Food and Drug Administration (FDA) warning statement regarding power morcellation during laparoscopic hysterectomy and myomectomy. Despite investigation into alternative tissue extraction techniques, there remain a paucity of data associated with contained manual morcellation techniques. The goal of this study was to investigate the associated perioperative outcomes of contained manual morcellation compared to power morcellation in women undergoing robotic myomectomy. Performing manual morcellation (n = 38) resulted in a 21-min decrease in mean operative time (105.4 ±42.2 vs 126.1 ±44.1 min,p = 0.02) compared to power morcellation (n = 62). Women were younger (33 vs 36 years, p = 0.03) in the manual morcellation group, with all other patient demographics being similar. Median specimen weight (82 vs 104 g, p = 0.13), number of fibroids removed (2 vs 1, p = 0.16), estimated blood loss (10 vs 50 mL, p = 0.25), and post-operative morphine equivalents administered (5.57±4.57 vs 5.29±4.39, p = 0.76) were similar. The same-day discharge rate was not significantly different between the groups (86 vs 90%, p = 0.74). Linear regression modeling identified specimen weight, number of fibroids removed, and use of power morcellation as significant contributors to surgical time. Contained manual morcellation during robotic myomectomy is associated with a significant decrease in surgical time when compared to power morcellation, with similar post-operative narcotic administration and length of stay.
机译：2014年美国食品和药物管理局（FDA）警告陈述在腹腔镜子宫切除术和肌瘤切除术期间有关电力发育的警告声明，临床实践急剧发生。尽管对替代组织提取技术进行了调查，但仍然存在与包含的手动变动技术相关的数据。本研究的目标是探讨含有手动毛细血管的相关围手术期结果，与患有机器人心肌切除术的女性的动力发生相比。与电机发生（n = 62）相比，执行手动发生手动发生（n = 38）导致平均手术时间（105.4±42.2 vs124.1min，p = 0.02）减小。在手动Morcellation集团中，女性更年轻（33岁36岁，P = 0.03），所有其他患者人口统计数据都相似。中值样品重量（82 vs104g，p = 0.13），除去肌瘤的数量（2 vs1，p = 0.16），估计失血（10 vs 50ml，p = 0.25），并施用后术后吗啡等当量（ 5.57±4.57 Vs 5.29±4.39，p = 0.76）是相似的。组之间的当日放电率没有显着差异（86 vs 90％，p = 0.74）。线性回归建模鉴定鉴定标本重量，除去肌瘤的数量，以及使用电力毛细管的贡献作为外科时间的重要贡献者。在机器人心肌切除术期间含有的手动莫塞尔在与电机发生相比的情况下，手术时间的显着降低有关，具有类似的术后麻醉局和逗留时间。

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