机器人辅助腹腔镜治疗肠道、膀胱和输尿管子宫内膜异位症。
Robotic-assisted laparoscopic treatment of bowel, bladder, and ureteral endometriosis.
作者信息
Nezhat Camran, Hajhosseini Babak, King Louise P
机构信息
Department of Obstetrics, Gynecology and Surgery, Stanford University, USA.
出版信息
JSLS. 2011 Jul-Sep;15(3):387-92. doi: 10.4293/108680811X13125733356396.
BACKGROUND
Endometriosis commonly affects the pelvic organs but can also affect organs outside the pelvis and is then termed extragenital endometriosis.
CASES
Successful robotically assisted laparoscopic management of extragenital endometriosis, specifically, endometriosis of the bowel, bladder, and ureter in 5 patients.
CONCLUSION
A substantial body of evidence supports the laparoscopic approach as the preferred method for many procedures; yet, a majority of procedures today still are performed by laparotomy. This preference for open procedures is likely due to the lack of trained endoscopic surgeons, the difficulty in obtaining proper instruments, and the long learning curve of operative laparoscopy. The recent advent of computer-enhanced technology may provide the bridge necessary for more surgeons to incorporate laparoscopic surgery in the treatment of complex cases.
背景
子宫内膜异位症通常影响盆腔器官，但也可累及盆腔外器官，这种情况被称为生殖器外子宫内膜异位症。
病例
成功通过机器人辅助腹腔镜手术治疗5例生殖器外子宫内膜异位症患者，具体为肠道、膀胱和输尿管的子宫内膜异位症。
结论
大量证据支持腹腔镜手术是许多手术的首选方法；然而，如今大多数手术仍通过剖腹手术进行。这种对开放手术的偏好可能是由于缺乏训练有素的内镜外科医生、难以获得合适的器械以及手术腹腔镜的学习曲线较长。计算机增强技术的最新出现可能为更多外科医生在复杂病例的治疗中采用腹腔镜手术提供必要的桥梁。
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