Cleveland Clinic, Cleveland, OH, USA.
Placenta. 2011 Sep;32 Suppl 3:S232-7. doi: 10.1016/j.placenta.2011.07.002. Epub 2011 Jul 23.
Minimally invasive surgical techniques are becoming increasingly common in gynecologic surgery. However, traditional laparoscopy can be challenging. A robotic surgical system gives several advantages over traditional laparoscopy and has been incorporated into reproductive gynecological surgeries. The objective of this article is to review recent publications on robotically-assisted laparoscopy for reproductive surgery. Recent clinical research supports robotic surgery as resulting in less post-operative pain, shorter hospital stays, faster return to normal activities, and decreased blood loss. Reproductive outcomes appear similar to alternative approaches. Drawbacks of robotic surgery include longer operating room times, the need for specialized training, and increased cost. Larger prospective studies comparing robotic approaches with laparoscopy and conventional open surgery have been initiated and information regarding long-term outcomes after robotic surgery will be important in determining the ultimate utility of these procedures.
微创手术技术在妇科手术中越来越普遍。然而，传统的腹腔镜手术具有一定挑战性。机器人手术系统相对于传统腹腔镜手术具有许多优势，已被应用于生殖妇科手术。本文的目的是综述生殖手术中机器人辅助腹腔镜的最新文献。最近的临床研究支持机器人手术，其结果是术后疼痛减轻、住院时间缩短、更快恢复正常活动以及出血量减少。生殖结局似乎与其他方法相似。机器人手术的缺点包括手术时间更长、需要专门的培训以及成本增加。目前已经启动了比较机器人手术方法与腹腔镜手术和传统开放手术的更大规模前瞻性研究，关于机器人手术后长期结果的信息对于确定这些手术方法的最终应用价值非常重要。
