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中华腔镜外科杂志(电子版) ›› 2023, Vol. 16 ›› Issue (05) : 304 -307. doi: 10.3877/cma.j.issn.1674-6899.2023.05.010

综述

机器人手术在妇科领域的应用及展望
王乔, 郑莹()   
  1. 610044 成都,四川大学华西第二医院妇科;610044 成都,出生缺陷与相关妇儿疾病教育部重点实验室
  • 收稿日期:2023-08-30 出版日期:2023-10-30
  • 通信作者: 郑莹
  • 基金资助:
    国家重点研发计划(2022YFC2704103); 四川省科技厅重点研究项目(2023YFS0046); 四川省自然科学基金项目(2022NSFSC1307)

The application and prospect of robotic surgery in gynecology

Qiao Wang, Ying Zheng()   

  1. Department of Gynecologic Oncology, West China Second Hospital, Sichuan University, Sichuan 610041, China.; The Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan 610041, China
  • Received:2023-08-30 Published:2023-10-30
  • Corresponding author: Ying Zheng
引用本文:

王乔, 郑莹. 机器人手术在妇科领域的应用及展望[J]. 中华腔镜外科杂志(电子版), 2023, 16(05): 304-307.

Qiao Wang, Ying Zheng. The application and prospect of robotic surgery in gynecology[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(05): 304-307.

在妇科领域,微创外科治疗处于非常重要的地位,这就奠定了机器人手术得以应用和发展的需求基础。机器人手术在妇科领域的适应证和手术原则与相应的普通腹腔镜手术基本相同,可适用于子宫肌瘤切除术、子宫内膜异位症手术、卵巢囊肿手术、子宫全切术、生殖外科、盆底修复以及部分妇科恶性肿瘤的相关手术。相较于普通腹腔镜,机器人手术在追求精准操作或面临更具挑战、更复杂的情况时更能体现出其价值和优势。未来,机器人妇科手术可能将在超远程手术、人工智能、单孔手术、专科机器人等方面继续带来创新和变革。

Minimally invasive surgery plays an extremely important role in the field of gynecology, which lays a solid foundation for the application and development of robotic surgery. Robot surgery has basically the same indications and surgical principles in the field of gynecology as those of conventional laparoscopic surgery. It can be applied to surgical treatment for uterine fibroid, endometriosis, adnexal mass, and gynecologic oncology. Compared to conventional laparoscopic surgery, robotic surgery better demonstrates its advantages in pursuing precise operations or dealing with more challenging and complex situations. In the future, robotic gynecological surgery may bring further innovation and revolution in areas such as ultra remote surgery, artificial intelligence, single-port surgery, and specialized robots.

图1 机器人腹腔镜下单孔免举宫广泛性子宫切除术注:A.使用扎带悬吊子宫;B.切除子宫骶骨韧带;C.切除膀胱宫颈韧带;D.缝合封闭阴道后切开。
图2 机器人腹腔镜下单孔淋巴结切除术注:A.清扫盆腔淋巴结;B.切除腹主动脉旁淋巴结;C.切除增大的肾静脉旁淋巴结;D.高位清扫腹主动脉旁淋巴结。
图3 单孔机器人腹腔镜下卵巢畸胎瘤剥除术注:A、B.剥除畸胎瘤;C、D.缝合成形卵巢。
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