目的：探讨机器人辅助单孔与多孔腹腔镜技术在全子宫切除术中的安全性、可行性及有效性。方法：回顾性分析 2020 年 6 月—2023 年 12 月于西安国际医学中心医院行机器人辅助腹腔镜手术的 109 例患者临床资料，按随机数字表法分为对照组 （n=44，机器人辅助多孔腹腔镜手术）和研究组（n=65，机器人辅助单孔腹腔镜手术），比较两组手术相关指标、术后并发症、 术后恢复指标及术后疼痛情况。结果：两组均顺利完成手术，未发生邻近脏器损伤，无中转开腹手术。与对照组相比，研究 组手术住院时间显著缩短（P<0.05），术后 48 h 和 72 h 疼痛评分更低（P<0.05），且出血量、手术时间未明显增加（P>0.05）。 结论：机器人辅助单孔腹腔镜技术在全子宫切除术中的应用是安全、有效的，其切口美容效果更好，可显著缩短术后住院时 间，降低患者术后疼痛。

Objective: To explore the safety, feasibility, and efficacy of robot-assisted single-site versus multi-site laparoscopic techniques in total hysterectomy. Methods: A retrospective analysis was conducted on 109 patients who underwent Da Vinci robot-assisted laparoscopic surgery at Xi’an International Medical Center Hospital from June 2020 to December 2023. Participants were randomly divided into the control group (n=44, receiving robot-assisted multi-site laparoscopic surgery) and the study group (n=65, receiving robot-assisted single-site laparoscopic surgery) using a random number table. Surgical-related indicators, postoperative complications, postoperative recovery indicators, and postoperative pain level were compared between the two groups of patients. Results: All surgeries were completed successfully without adjacent organ injury or conversion to open surgery. Compared with the control group, shorter length of hospital stay and lower pain scores at 48 h and 72 h were observed in the control group (P<0.05). No significant differences were observed in operative time or blood loss between the two groups (P>0.05). Conclusion: The application of robot-assisted single-site laparoscopic technique in total hysterectomy is safe and effective. Compared with multi-site laparoscopic technique, it can significantly reduce length of hospital stay and lower postoperative pain levels in patients with superior cosmetic outcomes.

基金项目：陕西省重点研发计划项目（2023-YBSF-223） 

Foundation Item: Key R&D Plan Project of Shaanxi Province (2023-YBSF-223) 引用格式：王靖，高建建，刘平，等 . 机器人辅助单孔与多孔腹腔镜技术在全子宫切除术中的应用（附手术视频）[J]. 机器人外科学杂志（中 英文），2025，6（5）：701-705. 

Citation: WANG J, GAO J J, LIU P, et al.Application of robot-assisted single-site and multi-site laparoscopic techniques in total  hysterectomy (with surgical video)[J].Chinese Journal of Robotic Surgery, 2025, 6(5): 701-705. 

通讯作者（Corresponding Author）：王海琳（WANG Hailin），Email：wanghailinyx@163.com

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