中国的机器人外科学杂志 | ISSN 2096-7721 | CN 10-1650/R

机器人手术系统在子宫移植中的应用进展

Application of robotic surgical system in uterine transplantation

作者:翟梁好,董 健,陈必良

Vol. 2 No. 5 Oct. 2021 DOI: 10.12180/j.issn.2096-7721.2021.05.002 发布日期:2022-08-06
关键词:不孕症;机器人手术系统;子宫移植;微创手术

作者简介:

子宫移植是治疗绝对子宫因素不孕症的唯一治疗方法。血管解剖困难、手术时间长、术中损伤是限制子宫移植发展的主要问题。微创技术可以缩短手术时间,减少损伤,有助于复杂血管的解剖。有研究团队实现了机器人辅助下子宫移植,并且已经有后代成功分娩的报道。本文总结了已报道的机器人辅助下子宫移植手术,通过分析现有数据,讨论机器人手术系统在子宫移植中的应用及其影响。

Uterine transplantation is the only way for the treatment of absolute uterine factor infertility. Difficult vascular anatomy, long operative time and intraoperative injury are the main problems that limit the development of uterine transplantation. The minimally invasive technique can shorten the operation time, reduce injury and complexity in vascular anatomy. Some research teams have implemented robot-assisted uterine transplantation, and successful delivery has been reported. This paper aims to summarize the reported robot-assisted uterine transplantation, and discuss the application and impact of robotic surgical system in uterine transplantation by analyzing the available data.

稿件信息

收稿日期:2020-11-23  录用日期:2021-02-26

Received Date: 2020-11-23  Accepted Date: 2021-02-26

基金项目:国家自然科学基金面上项目(81672583)

Foundation Item: National Natural Science Foundation of China(81672583)

通讯作者:陈必良,Email: cblxjh@fmmu.edu.cn

Corresponding Author: CHEN Biliang, Email: cblxjh@fmmu.edu.cn

引用格式:翟梁好,董健,陈必良 . 机器人手术系统在子宫移植中的应用进展 [J]. 机器人外科学杂志(中英文),2021,2(5):342-346.

Citation: ZHAI L H, DONG J, CHEN B L. Application of robotic surgical system in uterine transplantation[J]. Chinese Journal of Robotic Surgery, 2021, 2(5):342-346.

参考文献

[1] 吕小慧 , 陈必良 . 达芬奇机器人手术系统在妇科手术中的应用 [J]. 机器人外科学杂志(中英文),2020, 1(1):57-60.

[2] Kristek J, Johannesson L, Novotny R, et al. Human uterine vasculature with respect to uterus transplantation: a comprehensive review[J]. Journal of Obstetrics and Gynaecology Research, 2020,46(11):2199-2220.

[3] Fornalik H, Fornalik N. Uterus transplantation: robotic surgeon perspective[J]. Fertility and Sterility, 2018,109(2):365.

[4] Zitkute V, Kvietkauskas M, Leber B, et al. Ischemia and reperfusion injury in uterus transplantation: a comprehensive review[J]. Transplantation Reviews, 2020,34(3):100550.

[5] Brännström M, Dahm Kähler P, Greite R, et al. Uterus Transplantation[J]. Transplantation, 2018,102(4):569- 577.

[6] Jones B P, Saso S, Bracewell-Milnes T, et al. Human uterine transplantation: a review of outcomes from the first 45 cases[J]. BJOG, 2019,126(11):1310-1319.

[7] Söderström-Anttila V, Wennerholm U, Loft A, et al. Surrogacy: outcomes for surrogate mothers, children and the resulting families-a systematic review[J]. Human Reproduction Update, 2016,22(2):260-276.

[8] Brännström M. Introduction: uterus transplantation[J]. Fertility and Sterility, 2019,112(1):1-2.

[9] Brännström M, Dahm-Kähler P. Uterus transplantation and fertility preservation[J]. Best Practice & Research Clinical Obstetrics & Gynaecology, 2019. DOI: 10.1016/j.bpobgyn.2018.12.006.

[10] Kvarnström N, Enskog A, Dahm-Kähler P, et al. Live versus deceased donor in uterus transplantation[J]. Fertility and Sterility, 2019,112(1):24-27.

[11] Ayoubi J M, Carbonnel M, Pirtea P, et al. Laparotomy or minimal invasive surgery in uterus transplantation: a comparison[J]. Fertility and Sterility, 2019,112(1):11-18.

[12] WEI L, XUE T, TAO K, et al. Modified human uterus transplantation using ovarian veins for venous drainage: the first report of surgically successful robotic-assisted uterus procurement and follow-up for 12 months[J]. Fertility and Sterility, 2017,108(2):346-356.

[13] Brännström M, Dahm Kähler P, Kvarnström N, et al. Live birth after robotic-assisted live donor uterus transplantation[J]. Acta Obstetricia et Gynecologica Scandinavica, 2020,99(9):1222-1229.

[14] Puntambekar S, Telang M, Kulkarni P, et al. Laparoscopic-assisted uterus retrieval from live organ donors for uterine transplant: our experience of two patients[J]. J Minim Invasive Gynecol, 2018, 25(4):622- 631.

[15] Puntambekar S, Puntambekar S, Telang M, et al. Novel anastomotic technique for uterine transplant using uteroovarian veins for venous drainage and internal iliac arteries for perfusion in two laparoscopically harvested uteri[J]. Journal of Minimally Invasive Gynecology, 2019,26(4):628-635.

[16] Brnnstrm M, Dahm-Khler P, Kvarnstrm N. Roboticassisted surgery in live-donor uterus transplantation[J]. Fertility & Sterility, 2018, 109(2):256-257.

[17] Carbonnel M, Dahm-Kähler P, Revaux A, et al. Adapting surgical skills from robotic-assisted

radical hysterectomy in cervical cancer to uterine transplantation: a look to an optimistic future![J]. Journal of Robotic Surgery, 2020, 14(6):841-847.

[18] Johannesson L, Testa G, Flyckt R, et al. Guidelines for standardized nomenclature and reporting in uterus transplantation: an opinion from the United States Uterus Transplant Consortium[J]. American Journal of Transplantation, 2020, 20(12):3319-3325.

[19] Brännström M, Enskog A, Kvarnström N, et al. Global results of human uterus transplantation and strategies for pre-transplantation screening of donors[J]. Fertility and Sterility, 2019,112(1):3-10.

[20] Zaami S, Di Luca A, Marinelli E. Advancements in uterus transplant: new scenarios and future

implications[J]. European Review for Medical and Pharmacological Sciences, 2019,23(2):892-902.

印象笔记
有道云笔记
微博
QQ空间
微信
二维码
意见反馈