Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
J Minim Invasive Gynecol. 2014 Jan-Feb;21(1):147-51. doi: 10.1016/j.jmig.2013.07.004. Epub 2013 Jul 27.
The benefits of laparoscopic surgery over open abdominal surgery have been well documented. Efforts continue for development of strategies that further reduce the size of abdominal incisions and the number of trocars used. Laparoendoscopic single-site surgery (LESS) is a promising approach that can further enhance cosmetic satisfaction and reduce the risks of laparoscopic surgery. Loss of triangulation, instrument crowding and clashing, poor visualization, and ergonomic problems are the most challenging issues associated with the use of LESS. The combination of LESS and the robotic system seems to be a promising choice to overcome the technical difficulties of LESS. The da Vinci Single-Site Surgical Platform is a novel semi-rigid robotic operating system. We present our initial clinical experience with robotic-assisted single-incision transumbilical total hysterectomy using the novel da Vinci Single-Site Surgical Platform.
腹腔镜手术相对于开腹手术的优势已有充分的文献记载。人们一直在努力开发进一步减小腹部切口大小和减少使用套管针数量的策略。经脐单孔腹腔镜手术（LESS）是一种很有前途的方法，可以进一步提高美容满意度，降低腹腔镜手术的风险。失去三角关系、器械拥挤和碰撞、可视性差以及人体工程学问题是与 LESS 使用相关的最具挑战性的问题。LESS 与机器人系统的结合似乎是克服 LESS 技术难题的有前途的选择。达芬奇单部位手术平台是一种新颖的半刚性机器人操作系统。我们介绍了使用新型达芬奇单部位手术平台进行机器人辅助经脐单部位经脐全子宫切除术的初步临床经验。
