自 2005 年达芬奇机器人手术系统进入妇科领域以来，在手术的微创化方面已经取得了重要进展。越来越多的学者将机器人单孔腹腔镜手术（Robotic laparoendoscopic single-site，R-LESS）应用到妇科各种手术操作中。本文描述了机器人单孔腹腔镜手术的历史进展，通过复习 R-LESS 在良性子宫全切术、子宫肌瘤切除、阴道 - 骶骨固定术以及妇科恶性肿瘤的文献资料，发现 R-LESS 在妇科领域是可行、安全的，手术结局和并发症方面不差于多孔机器人手术。越来越多的机器人单孔手术平台的出现，为克服目前 R-LESS 存在的局限性开拓了良好的前景。

Since the Da Vinci robotic surgery system approved by the FDA (the Food and Drug Administration, US) in 2005, significant advances in minimally invasive surgery has been achieved with its application in gynecology. More and more researchers have applied the robotic laparoendoscopic single-site (R-LESS) into gynecologic surgeries. This review describes the history and development of laparoendoscopic single-site (LESS) and R-LESS. The published literatures on clinical application of R-LESS in hysterectomy, myomectomy, sacrocolpopexy and gynecologic malignancies were reviewed. The results show that R-LESS is feasible and safe in gynecologic surgeries, the outcomes and complications have no significant differences to multiport robotic surgery. With the application of more platforms of robotic single site, the limitations of R-LESS will be hopefully overcome.

收稿日期：2020-03-09  录用日期：2020-05-01

Received Date: 2020-03-09 Accepted Date: 2020-05-01

基金项目：广西重点研发计划（桂 AB17195003）

Foundation Item: Key Research & Development projects in Guangxi (AB17195003)

引用格式：范江涛，陈俏如，卢静兰，等 . 机器人单孔腹腔镜手术在妇科领域的应用进展 [J]. 机器人外科学杂志，2020，1（2）：124-133.

Citation: FAN J T, CHEN Q R, LU J L, et al. Application progress of robotic laparoendoscopic single-site surgery in gynecology[J]. Chinese Journal of Robotic Surgery, 2020, 1 (2):124-133.

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