Wolfe Lynlee, DePasquale Stephen, Adair C David, Torres Carlos, Stallings Shawn, Briery Christian, Pearce Christy
Department of OB/GYN, University of Tennessee-Chattanooga, Chattanooga, Tennessee 37403, USA.
Am J Perinatol. 2008 Nov;25(10):653-5. doi: 10.1055/s-0028-1090591. Epub 2008 Oct 8.
Cervical incompetence treated with transabdominal cerclage can carry significant morbidity with the need for sequential laparotomies and necessitating prolonged postoperative recovery. Laparoscopic transabdominal cerclage placement has been described but has significant limitations with only two-dimensional depth perception and limited dexterity. Robotic-assisted laparoscopic surgery (RALS) is rapidly gaining acceptance in gynecologic surgery. RALS has reportedly been used for placement of an interval transabdominal cerclage. We report the first two cases where the da Vinci robot was used during pregnancy for placement of abdominal cerclage. Two women were successfully treated with robotic-assisted laparoscopic placement of transabdominal cerclage in pregnancy. Robotic-assisted laparoscopic transabdominal cerclage placement is less invasive and is effective not only as an interval procedure but also during pregnancy, offering the patient an alternative to the traditional laparotomy with quicker recovery time.
经腹宫颈环扎术治疗宫颈机能不全可能会带来显著的并发症，需要进行多次剖腹手术，术后恢复时间也会延长。虽然已经有关于腹腔镜下经腹宫颈环扎术的描述，但它存在显著局限性，只有二维深度感知且灵活性有限。机器人辅助腹腔镜手术（RALS）在妇科手术中迅速得到认可。据报道，RALS已被用于放置间隔经腹宫颈环扎术。我们报告了首例在孕期使用达芬奇机器人进行腹部宫颈环扎术的两例病例。两名女性通过机器人辅助腹腔镜下经腹宫颈环扎术成功治疗。机器人辅助腹腔镜下经腹宫颈环扎术侵入性较小，不仅作为间隔手术有效，在孕期也有效，为患者提供了一种替代传统剖腹手术的选择，恢复时间更快。
