妇科腹腔镜治疗进展

Progress of Laparoscopic Therapy in Gynecology

随着理念的更新,器械的进步,经验的积累,技术的娴熟,涌现出自然腔道内镜外科、单孔腹腔镜手术、机器人手术等全新的妇科腹腔镜技术。传统的腹腔镜技术也在不断革新,无气腹腔镜手术是气腹腹腔镜的补充,腹腔镜子宫切除术和子宫肌瘤剔除术更注重适应证的选择和术者自身能力,腹腔镜输卵管保守性手术可获得较高的术后宫内妊娠率,窄带成像可提高腹腔镜下子宫内膜异位症的诊断准确率,腹腔镜治疗妇科恶性肿瘤几乎与开腹术相媲美,腹腔镜设备及器械的进步提高了腹腔镜手术的安全性。

In recent few years, with the progress of update idea, instruments, the accumulation of experience and technology natural orifice endoscopic surgery, single orifice laparoscopic surgery and robotic surgery etc. new la- paroscopic technique emerged. Traditional laparoscopic techniques have made innovations, eg gasless laparoscopic surgery is supplementary of gas laparoscopy. Indications and operating ability of operator were greatly emphasized on laparoscopic hysterectomy and myomectomy. Laparoscopic tubal conservative operation could get higher intrauterine pregnancy rate after surgery. Narrow band imaging improved laparoscopic endometriosis diagnostic accuracy. Laparoscopic surgery in gynecologic cancer was almost the same with laparotomy. Progress of laparoscopic equipment and instruments increased the salty of laparoscopic surgery.