机器人手术系统在妇科恶性肿瘤复发治疗中的临床应用

Clinical application of robotic surgery on treating recurrent gynecological cancers

机器人手术广泛用于妇科肿瘤,可以完成早期宫颈癌、内膜癌、卵巢癌、阴道癌等手术,对于复发的妇科恶性肿瘤的机器人手术治疗报道较少。我们通过相关文献评估机器人手术在妇科恶性肿瘤治疗以及复发手术治疗中的作用。目前认为病灶复发为中央型、孤立病灶者,机器人手术是可行的,手术方式为局部切除和盆腔廓清术,需经验丰富的医生进行;手术方法的改进以及医疗器械的研发也是保证手术成功的重要因素。

Robotic surgery has been widely used to treat gynecological cancers,including early-stage cervical cancer,endometrial cancer,ovarian cancer,vaginal cancer etc.However,there are few articles about the application of robotic surgery on treating recurrent gynecological cancer currently.Literatures were reviewed in this paper to evaluate clinical value of robotic surgery in treating recurrent gynecological cancers.Patients with recurrent cancer localized in pelvic and/or isolated regions were included in this study.The results show that robot-assisted surgery is feasible to treat recurrent central pelvic cancer with isolated lesions by skilled surgeons under local resection and pelvic exenteration.Improvement of surgical procedures and development of medical instruments are important factors to ensure the surgery successfully and safely done.