机器人手术在妇科肿瘤领域实施的疗效评估

发布时间：2019-07-06 06:36

【摘要】：技术的进步不断革新着妇科肿瘤治疗的现况,如今,已有多种手术途径治疗妇科肿瘤,如开腹手术、传统腹腔镜手术、阴式手术等。在过去30年间,因为机器人手术的出现及发展,使微创手术治疗妇科肿瘤达到了一个新的高度。国内外众多研究就机器人妇科肿瘤手术中诸如术中出血量、住院天数、手术时间、淋巴结切除个数、术中并发症等围手术期效应指标同传统腹腔镜手术和开腹手术进行了对比分析,机器人手术在这些方面表现出了独特的优势,显现出巨大的临床应用前景。但是有关机器人手术患者的总生存期、无瘤生存期、复发率、转移发生率、生存质量等远期效应指标的报道尚为数不多,需要长期随访和多中心协助研究。同时,机器人手术也存在诸如价格昂贵等一些显而易见的缺点。机器人手术系统需要不断的改进,以便其在妇科肿瘤手术中广泛应用。
[Abstract]:The progress of technology has constantly innovated the current situation of gynecological tumor treatment. nowadays, there are many surgical ways to treat gynecological tumor, such as laparotomy, traditional laparoscopic surgery, yin operation and so on. In the past 30 years, because of the emergence and development of robot surgery, minimally invasive surgery for gynecological tumors has reached a new height. Many studies at home and abroad have compared the perioperative effects of robot gynecological tumor surgery, such as intraoperative blood loss, hospitalization days, operation time, number of lymph node resection, intraoperative complications, with traditional laparoscopic surgery and open surgery. Robot surgery has shown unique advantages in these aspects, showing great clinical application prospects. However, there are few reports on the long-term effect indexes such as total survival time, tumor-free survival time, recurrence rate, metastasis incidence and quality of life in patients undergoing robot surgery, which need long-term follow-up and multicenter assistance. At the same time, robot surgery also has some obvious shortcomings, such as high price. Robot surgery system needs continuous improvement so that it can be widely used in gynecological tumor surgery.
【作者单位】：武汉大学中南医院;
【分类号】：R737.3

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