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机器人手术在妇科领域的应用现状及进展

关键词： 机器人手术系统；妇科手术；腹腔镜；微创手术

冯淑杰，曲波，聂夏子，王海琳   

  • 1 No. 3 Aug. 2020
  • DIO:10.12180/j.issn.2096-7721.2020.03.008 发布日期:2020-10-29 阅读数:642
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  • 作者简介:

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机器人手术代表目前微创技术的最高水平。2005 年食品与药品管理局（FDA）批准达芬奇机器人手 术系统应用于妇科，现已在临床上广泛应用。达芬奇机器人具有 3D 高清影像、运动缩放、震颤滤过、灵活的手臂 内腕等技术，有效克服了传统腹腔镜手术及开腹手术的局限性。而现阶段达芬奇机器人的应用也存在其自身劣势， 如高昂的成本、缺乏触觉反馈、手术时间增加等。通过查阅国内外文献，本文阐述达芬奇机器人手术在治疗妇科良 恶性疾病的应用优势、局限性和争议，并介绍机器人系统最新研究进展，以期为机器人在妇科临床的应用提供参考 依据。

Robotic surgery represents the highest level of minimally invasive technology at present. The Da Vinci robotic surgical system had been approved by the food and drug administration (FDA) to be adopted into gynecology in 2005, which has been widely used in clinical practice for now. The Da Vinci robot is equipped with 3D high-definition imaging system, vibrating filtering system, flexible arm wrist and other technologies, which can break the limitations of traditional laparoscopic surgery and laparotomy effectively. However, the Da Vinci robot has its own disadvantages, such as high costs, lack of tactile feedback and increased operation time. By reviewing domestic and foreign literatures, the advantages, limitations and disputes of the application of Da Vinci robot surgery in gynecological benign and malignant diseases are expounded in this paper, the latest research progress of robotic surgery system is introduced, hopefully to provide references for the application of robot-assisted surgical system in gynecological practice.