机器人辅助技术在宫颈癌手术中的应用进展

Advances in robot assisted technique for cervical cancer surgery

  • 摘要: 随着机器人辅助微创手术技术的快速发展,机器人辅助下宫颈癌根治术也逐渐兴起,已应用于全子宫切除术、子宫颈切除术以及腹腔淋巴结清扫术等,但由于应用时间有限,目前缺少远期疗效评价及高等级的循证医学证据,同时机器人辅助手术在技术创新等方面还有待提高。

     

    Abstract: Conventional abdominal radical hysterectomy (CRH) and laparoscopic radical hysterectomy (LRH) have been widely used for cervical cancer in clinical practice. Since the operating time is shorter and intraoperative bleeding is less than CRH, LRH has gradually replaced CRH. However, plenty of difficulties in the popularization of LRH are still to be discussed and studied indepth. With the rapid development of robot-assisted minimally invasive surgery, robot-assisted cervical cancer radical surgery has revealed its advantages: wide and clear three-dimensional vision and multi-dimensional high-precision surgical operation help to solve the difficulties in CRH and LRH. At present, the robot assisted technology has been applied to a lot of cervical cancer surgeries, such as radical hysterectomy, nerve-sparing radical hysterectomy, radical trachelectomy, and extra peritoneal lymphadenectomy.It can not only simplify the surgical process, but also achieve equally short-term clinical efficacy compared to the laparoscopic surgery. However, due to short period of its application in surgery, long-term efficacy of the robot-assisted surgery still needs to be discovered, and its technological innovation also needs to be improved. In all, the robot-assisted technology has been well served and integrated in the cervical cancer surgery, which makes important significance in the management of cervical cancer.

     

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