近年来，宫颈癌的发病人群呈年轻化趋势，越来越多的育龄期患者行手术时要求保留生育功能。广 泛性宫颈切除术（Radical Trachelectomy，RT）既能有效地切除肿瘤，同时又能保留子宫，为宫颈癌患者保留生育功 能带来希望。达芬奇机器人手术系统具有视野高清、操作灵活、精准度高等方面的优势，越来越多的患者开始接受 机器人辅助腹腔镜广泛性宫颈切除术（Robot-assisted Radical Trachelectomy，RRT）。本综述通过文献回顾，对 RRT 的适应证、手术细节及临床结局进行阐述。

In recent years, the onset age of cervical cancer is getting younger, and more and more patients in childbearing age need to preserve reproductive function during surgery. Radical trachelectomy (RT) could effectively remove tumors while preserving the uterus, which could provide more possibilities for cervical cancer patients to have children. Da Vinci robotic surgical system has advantages of high-definition vision, flexible operation and high precision. Robot-assisted radical trachelectomy (RRT) has been adopted by more and more surgeons and patients. The patient selecting criteria, surgical details and clinical outcomes of RRT were reviewed in this paper.

收稿日期：2022-04-26  录用日期：2022-10-09 

Received Date: 2022-04-26  Accepted Date: 2022-10-09 

基金项目：浙江省卫生健康委员会省部共建重点项目（WKJ-ZJ-2125） 

Foundation Item: Key Project of Health Commission of Zhejiang Province(WKJ-ZJ-2125) 

通讯作者：杨建华，Email：yjh2006@zju.edu.cn 

Corresponding Author: YANG Jianhua, Email: yjh2006@zju.edu.cn 

引用格式：张留杭，郑俐梅，杨建华 . 达芬奇机器人手术系统在广泛宫颈切除术中的应用现状 [J]. 机器人外科学杂志（中英文）， 2023，4（5）：441-447. 

Citation: ZHANG L H, ZHENG L M, YANG J H. Application status of Da Vinci robotic surgical system in radical trachelectomy[J]. Chinese Journal of Robotic Surgery, 2023, 4(5): 441-447.

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