机器人辅助妇科手术的临床进展

Clinical Development about Robotic-assisted Gynecologic Surgery

微创手术作为妇科肿瘤的一个重要领域,从20世纪80年代开始应用于妇科肿瘤手术中。然而,缺乏触觉感官,视觉效果不佳,器械活动范围狭小使得传统腹腔镜手术不能完美的适应手术操作和患者的各种需求。为了弥补传统腹腔镜手术的这些劣势,机器人辅助手术技术受到重视。临床研究比较了机器人辅助妇科手术,传统腹腔镜妇科手术和经腹妇科手术3种不同手术途径在妇科肿瘤手术中的质量和患者术后恢复情况。凭借先进的操作系统和视觉效果,通过对手术操作者的训练以及对手术器械的适应,许多专业的妇科肿瘤学家和手术者正在逐渐熟悉这一新兴的尖端技术。

Minimally invasive surgery which began in 1980s has become an important part in the field of gynecologic tumor surgery.However,counterintuitive hand-movement,two-dimensional visualization and limited degrees of instrument motion that makes conservative laparoscopic surgery unable to meet every patient＇s needs.Robotic-assisted surgery carries with its advantages.Clinical research compared the value and outcomes of roboticassisted gynecologic surgery,conservative laparoscopic gynecologic surgery and laparotomy.With advanced system and three-dimensional visualization,through long-curve training as well as practising with instruments,more gynecologic authorities and surgeons become familiar with this new technology.