Zapardiel Ignacio, Zanagnolo Vanna, Magrina Javier F, Magtibay Paul M
Department of Gynecology, Santa Cristina University Hospital, Madrid, Spain.
Acta Obstet Gynecol Scand. 2010 Aug;89(8):1108-10. doi: 10.3109/00016349.2010.481016.
Radical parametrectomy is rarely performed for benign diseases given the considerable risk of complications, however, some benign conditions require wide excision of the pelvic tissue, including parametria. We report on two cases of robotic radical parametrectomy performed for benign diseases. An electronic search was also carried out in PubMed database online to review this subject. Robotic surgery for radical parametrectomy seems safe and feasible and may be the preferred approach in terms of both lower complication rates, and shorter hospital stay compared to laparotomy, with the same results in terms of improvement of symptoms of chronic pelvic pain, although further studies are needed to confirm this observation.
鉴于并发症风险较高，根治性子宫旁组织切除术很少用于良性疾病，然而，一些良性疾病需要广泛切除盆腔组织，包括子宫旁组织。我们报告了两例因良性疾病行机器人根治性子宫旁组织切除术的病例。同时还在PubMed在线数据库中进行了电子检索以回顾该主题。机器人根治性子宫旁组织切除术似乎安全可行，与开腹手术相比，并发症发生率较低且住院时间较短，在改善慢性盆腔疼痛症状方面效果相同，尽管还需要进一步研究来证实这一观察结果，但机器人手术可能是首选方法。
