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

机器人手术系统在妇科恶性肿瘤中的应用

Application of robotic surgical system in gynecological malignant tumors

作者:高铭徽,陈凯丽,赵宏辉,汪露,胡春杰

Vol. 4 No. 4 Aug. 2023 DOI: 10.12180/j.issn.2096-7721.2023.04.008 发布日期:2023-10-19
关键词:机器人手术系统;妇科恶性肿瘤;子宫内膜癌;宫颈癌;卵巢癌

作者简介:

近年来,妇科微创手术取得了长足进步,机器人手术系统更是医学研究领域的前沿话题,其在治疗 妇科恶性肿瘤方面也取得了显著成效。妇科恶性肿瘤越来越年轻化的趋势对妇科医生在手术美观及手术效果方面提 出了越来越高的要求。虽然机器人手术系统出现的时间较短,但其凭借技术优势,在妇科恶性肿瘤手术治疗中发挥 着越来越重要的作用。然而,其安全性、优劣势及患者选择方面还需要在更多的实践和研究中探索。

In recent years, minimally invasive surgery in gynecology has been made great progress, and remarkable  achievements has also been made by robotic surgical system in the treatment of gynecological malignant tumors. Since malignant  tumors occurring in younger and younger females, higher requirements on gynecological surgeons in terms of aesthetic effect are  requested. With its technical advantages, robotic surgical system plays an increasingly important role in treating gynecological  malignant tumors. However, its safety, advantages and patient selection should be furtherly confirmed in the future practices and  studies.

稿件信息

收稿日期:2021-11-03  录用日期:2022-07-22 

Received Date: 2021-11-03  Accepted Date: 2022-07-22 

基金项目:黑龙江省博士后基金(LBH-Z16220) 

Foundation Item: Postdoctoral Foundation of Heilongjiang Province (LBH-Z16220) 

通讯作者:胡春杰,Email:huchunjie2008@aliyun.com 

Corresponding Author: HU Chunjie, Email: huchunjie2008@aliyun.com 

引用格式:高铭徽,陈凯丽,赵宏辉,等 . 机器人手术系统在妇科恶性肿瘤中的应用 [J]. 机器人外科学杂志(中英文),2023,4 (4):365-370. 

Citation: GAO M H, CHEN K L, ZHAO H H, et al. Application of robotic surgical system in gynecological malignant tumors [J]. Chinese Journal of Robotic Surgery, 2023, 4(4): 365-370.

参考文献

[1] 黎金婷 , 庞晓燕 , 窦磊 , 等 . 达芬奇机器人手术系 统在肥胖或高龄合并子宫内膜癌患者治疗中的应 用 [J]. 中国肿瘤临床 , 2019, 46(19): 1018-1021. 

[2] Hinshaw S J, Gunderson S, Eastwood D, et al.  Endometrial carcinoma: the perioperative and long-term  outcomes of robotic surgery in the morbidly obese[J]. J  Surg Oncol, 2016, 114(7): 884-887.  

[3] Adi S, Racheli M, Ram E, et al. Robotic vs. open  surgery in obese women with low-grade endometrial  cancer: comparison of costs and quality of life  measures[J]. Isr J Health Policy Res, 2020, 9(1): 60. [4] Aloisi A, Tseng J H, Sandadi S, et al. Is robotic-assisted  surgery safe in the elderly population? An analysis of gynecologic procedures in patients ≥ 65years old[J]. Ann  Surg Oncol, 2019, 26(1): 244-251. [5] Evelyn S, Per C, Ninnie B, et al. Cost-effectiveness of  robotic hysterectomy versus abdominal hysterectomy in  early endometrial cancer[J]. Int J Gynecol Cancer, 2020,  30(11): 1719-1725. 

[6] Iavazzo C, Ioannis D. Cost-benefit analysis of robotic  surgery in gynaecological oncology[J]. Best Pract  Res Clin Obstet Gynaecol, 2017. DOI: 10.1016/ j.bpobgyn.2017.03.008. 

[7] Herling S, Palle C, Ann M, et al. Cost-analysis of  robotic-assisted laparoscopic hysterectomy versus total  abdominal hysterectomy for women with endometrial  cancer and atypical complex hyperplasia[J]. Acta Obstet  Gynecol Scand, 2016, 95(3): 299-308. 

[8] Agarwal R, Rajanbabu A, Unnikrishnan U, et al. A  retrospective evaluation of the perioperative drug use  and comparison of its cost in robotic vs open surgery for  endometrial cancer [J]. J Robot Surg, 2018, 12(4): 665- 672. 

[9] 郭瑞霞 , 杜建敏 , 王鹏冉 , 等 . Ⅰ期子宫内膜癌机器 人系统及传统腹腔镜手术并发症的比较及相关危险 因素分析 [J]. 中华妇产科杂志 , 2020, 55(2): 112-119. 

[10] 王楠 , 范文生 , 李震 , 等 . Gel-port 单孔机器人手术 治疗子宫内膜癌 1 例报道 [J]. 中华腔镜外科杂志 ,  2018, 11(6): 379-381. 

[11] 王靖 , 姜蕾 , 郭天康 , 等 . 达芬奇机器人在妇科恶性 肿瘤中的应用进展 [J]. 医学综述 , 2020, 26(4): 673- 677. 

[12] Matanes E, Abitbol J, Kessous R, et al. Oncologic  and surgical outcomes of robotic versus open radical  hysterectomy for cervical cancer [J]. J Obstet Gynecol  Can, 2019, 41(4): 450-458.  

[13] 赵孟玲 , 郭瑞霞 . 机器人辅助腹腔镜宫颈癌转移淋 巴结切除经验及思考 [J]. 中华腔镜外科杂志 ( 电子版 ), 2019, 12(4): 222-225. 

[14] Loverix L, Salihi R R, Nieuwenhuysen E V, et al. Paraaortic lymph node surgical staging in locally-advanced  cervical cancer: comparison between robotic versus  conventional laparoscopy [J]. Int J Gynecol Cancer,  2020, 30(4): 466-472. 

[15] Tae-Kyu J, Hyewon C, SangHoon K, et al. Robotic singlesite versus multiport radical hysterectomy in early stage  cervical cancer: an analysis of 62 cases from a single  institution [J]. Int J Med Robot, 2021, 17(4): e2255. 

[16] Ramirez P T, Frumovitz M, Pareja R, et al. Minimally  invasive versus abdominal radical hysterectomy for cervical  cancer[J]. N Engl J Med, 2018, 379(20): 1895-1904. 

[17] Jensen P T, Schnack T H, Frding L P, et al. Survival  after a nationwide adoption of robotic minimally invasive  surgery for early-stage cervical cancer-A populationbased study[J]. Eur J Cancer, 2020, 11(128): 47-56.  

[18] Doo D W, Kirkland C T, Griswold L H, et al.  Comparative outcomes between robotic and abdominal  radical hysterectomy for IB1 cervical cancer: results  from a single high volume institution [J]. Gynecol Oncol,  2019, 153(2): 242-247.  

[19] 冯云 , 李学银 , 赵孟玲 , 等 . 达芬奇机器人手术系 统在妇科疾病中的应用进展 [J]. 中国妇产科临床杂 志 , 2020, 21(2): 222-224. 

[20] 郭芳芳 , 冯文娟 , 李冬青 , 等 . 机器人与腹腔镜手 术治疗早期卵巢癌的临床比较 [J]. 中国癌症杂志 ,  2018, 28(2): 151-155. 

[21] 陈淑英 , 纪妹 , 赵曌 , 等 . 机器人手术系统与腹腔 镜在卵巢癌手术中应用效果的 Meta 分析 [J]. 现代 妇产科进展 , 2019, 28(2): 97-100.  

[22] 佘宇佳 , 叶明侠 , 孟元光 . 机器人、腹腔镜与开腹 手术治疗卵巢癌的疗效比较 [J]. 解放军医学院学报 ,  2020, 41(4): 320-323. 

[23] Escobara P F, Levinsona K L, Magrinac J, et al.  Feasibility and perioperative outcomes of roboticassisted surgery in the management of recurrent ovarian  cancer: a multi-institutional study[J]. Gynecol Oncol,  2014, 134(2): 253-256.  

[24] Ngo C, Cornou C, Rossi L, et al. Evidence for the use of  robotically assisted surgery in gynecologic cancers[J].  Curr Opin Oncol, 2016, 28(5): 398-403. 

[25] Lindfors A, Kesson A, Christian S, et al. Robotic vs  open surgery for endometrial cancer in elderly patients:  surgical outcome, survival, and cost analysis[J]. Int J  Gynecol Cancer, 2018, 28(4): 692-699. [26] 窦磊 , 芦恩婷 , 张颐 . 妇科机器人辅助腹腔镜手术 初期并发症发生原因研究 [J]. 中国实用妇科与产科 杂志 , 2020, 36(3): 276-279. 

[27] 唐玲 , 廖维 , 雷开贤 , 等 . Da Vinci 机器人辅助腹腔 镜对宫颈癌根治术患者应激反应及术后康复效果的 影响 [J]. 实用医院临床杂志 , 2020, 17(1): 165-167. 

[28] Varghese A, Doglioli M, Fader A N, et al. Updates and  controversies of robotic-assisted surgery in gynecologic  surgery[J]. Clin Obstet Gynecol, 2019, 62(4): 733-748.  

[29] Rindos N, Curry C L, Tabbarah R, et al. Port-site  metastases after robotic surgery for gynecologic  malignancy [J]. JSLS, 2014, 18(1): 66-70.  

[30] 纪妹 , 刘亚芬 . 机器人辅助腹腔镜在妇科经自然腔 道内镜手术中的应用 [J]. 中国实用妇科与产科杂志 ,  2019, 35(12): 1321-1324.

印象笔记
有道云笔记
微博
QQ空间
微信
二维码
意见反馈