妇科腹腔镜手术的临床进展

The Clinical Progress of Gynecological Laparoscopic Surgery

妇科腹腔镜手术近年来发展迅速,有损伤小、术后痛苦少、住院时间短、机体恢复快、美容效果好、医疗负担轻等优点。在妇科恶性肿瘤的诊治上,相对传统开腹手术,腹腔镜有自己独特的优势。随着手术器械设备的更新,医生经验的积累和技能的成熟,术中保护措施的研发,腹腔镜手术的并发症明显减少,安全性大大提高,临床运用范围愈加广泛。如今在传统腹腔镜手术的基础上又开发了微型腹腔镜手术,无气腹腹腔镜手术,机器人手术等新的手术方式。其各具特点,各有临床发展的潜力。就妇科腹腔镜手术近年来临床实践探索的新进展做综述。

As a result of the rapid technical progress and increased surgical skills, gynecological surgeries are performed laparoscopically more and more frequently. Laparoscopy has the advantages of being a minimally invasive surgery, with shorter hospitalization, decreased postoperative pain, and quicker return to normal daily activities. For many patients with gynecologic malignancy, laparoscopic surgery is a safe and minimally invasive treatment. Comparing with laparotomy,it shows significantly better post-operative reconstitution. Today, minimally invasive laparoscopy, non-pneumoperitoneum laparoscopy and robot-assisted surgery are new surgical approachs. They have many advantages and clinical potency. This article summarizes the clinical progress of gynecological laparoscopic surgery.We review the current literature discussing the consequences of laparoscopic surgery in ovarian tumors of low malignant potential and early-stage ovarian cancer.