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中华腔镜外科杂志(电子版)

中华腔镜外科杂志(电子版) ›› 2023, Vol. 16 ›› Issue (05) : 308 -314. doi: 10.3877/cma.j.issn.1674-6899.2023.05.011

综述

机器人单孔腹腔镜妇科应用进展
熊家强, 董璐, 刘艳燕, 易跃雄, 吕琼莹, 黄桔园, 王细文, 刘恒炜, 张蔚†()   
  1. 430071　湖北，武汉大学中南医院妇科
  • 收稿日期:2023-08-29 出版日期:2023-10-30
  • 通信作者: 张蔚
  • 基金资助:
    2022年国家重点研发计划子课题(2022YFC2704105); 2022年武汉大学中南医院转化医学及交叉科学联合基金(ZNJC202212)

Application progress of robotic single-site laparoscopy in gynecological disease

Jiaqiang Xiong, Lu Dong, Yanyan Liu, Yuexiong Yi, Qingying Lv, Juyuan Huang, Xiwen Wang, Hengwei Liu, Wei Zhang†()   

  1. Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Hubei 430071, China
  • Received:2023-08-29 Published:2023-10-30
  • Corresponding author: Wei Zhang
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熊家强, 董璐, 刘艳燕, 易跃雄, 吕琼莹, 黄桔园, 王细文, 刘恒炜, 张蔚. 机器人单孔腹腔镜妇科应用进展[J]. 中华腔镜外科杂志(电子版), 2023, 16(05): 308-314.

Jiaqiang Xiong, Lu Dong, Yanyan Liu, Yuexiong Yi, Qingying Lv, Juyuan Huang, Xiwen Wang, Hengwei Liu, Wei Zhang. Application progress of robotic single-site laparoscopy in gynecological disease[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(05): 308-314.

单孔腹腔镜手术(laparoendoscopic single-site surgery，LESS)由于创口小、伤口美观、术后康复快而逐渐在临床开展应用。然而，传统单孔腹腔镜由于手术视野受限、手术器械置入相对集中，难以形成操作三角且易导致器械碰撞，从而使手术难度增大。机器人单孔腹腔镜手术(robotic laparoendoscopic single-site surgery, R-LESS)具有可放大的手术视野、灵巧的手腕自由度、可弯曲的手术器械及仿生的人体工程学等优势，可以显著降低手术操作难度，在妇科手术中被广泛应用。因此，本文就机器人单孔腹腔镜在妇科手术中的应用进行系统综述，以期促进机器人单孔腹腔镜技术在妇科疾病中的应用，促进妇科微创手术的发展。

关键词: 机器人, 单孔腹腔镜, 微创手术, 妇科疾病

Laparoendoscopic single-site surgery (LESS) is gradually developed because of its small wound, beautiful wound and accelerated postoperative rehabilitation. However, due to the limited surgical field of view and the relatively concentrated surgical instrument placement, traditional single-site laparoscopy is difficult to form an operating triangle and easy to cause instrument collision, thus increasing the difficulty of surgery. Robotic laparoendoscopic single-site surgery (R-LESS) can significantly reduce the difficulty of surgical operation due to the advantages of enlarged surgical field of view, dexterous wrist freedom, flexible surgical instruments and bionic ergonomics, and was widely used in gynecological surgery. Therefore, the application of R-LESS in gynecological surgery is reviewed, in order to promote the application of R-LESS in gynecological diseases and thus promote the development of minimally invasive in gynecology.

Key words: Robot, Single-site laparoscopy, Minimally invasive surgery, Gynecological diseases
图1 机器人单孔腹腔镜右侧卵巢囊肿剥除术
图2 机器人单孔腹腔镜子宫肌瘤切除术＋阴道骶骨固定术
图3 机器人单孔腹腔镜全子宫切除＋双附件切除＋盆腔淋巴结清扫术
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