Department of Gynecologic Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
J Gynecol Oncol. 2011 Sep;22(3):196-202. doi: 10.3802/jgo.2011.22.3.196. Epub 2011 Sep 28.
The objective of this article was to review the published scientific literature pertaining to robotic surgery and its applications in gynecologic malignancies and to summarize the impact of robotic surgery on the field of gynecologic oncology. Summarizing data from different gynecologic disease-sites, robotic-assisted surgery is safe, feasible, and demonstrates equivalent histopathologic and oncologic outcomes. In general, benefits to robotic surgery include decreased blood loss, fewer perioperative complications and decreased length of hospital stay. Disadvantages include accessibility to robot surgical systems, decreased haptic sensation and fixed cost as well as cost of disposable equipment. As robotic surgery becomes readily available it will be imperative to develop standardized training modalities. Further research is needed to validate the role of robotic surgery in the treatment of gynecologic malignancies.
本文旨在回顾已发表的关于机器人手术及其在妇科恶性肿瘤中的应用的科学文献,并总结机器人手术对妇科肿瘤学领域的影响。总结不同妇科疾病部位的数据,机器人辅助手术是安全、可行的,并显示出同等的组织病理学和肿瘤学结果。一般来说,机器人手术的好处包括出血量减少、围手术期并发症减少和住院时间缩短。缺点包括机器人手术系统的可及性、触觉感觉降低以及固定成本和一次性设备成本。随着机器人手术的广泛应用,制定标准化的培训模式至关重要。需要进一步的研究来验证机器人手术在妇科恶性肿瘤治疗中的作用。