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达芬奇机器人在子宫移植中的潜在作用。

Possible role of DaVinci Robot in uterine transplantation.

作者信息

Iavazzo Christos, Gkegkes Ioannis D

机构信息

Department of Gynecological Oncology, Christie Hospital, Manchester, United Kingdom.

Department of Surgery, General Hospital of Attica "KAT", Athens, Greece.

出版信息

J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):179-80. doi: 10.5152/jtgga.2015.15045. eCollection 2015.

DOI:10.5152/jtgga.2015.15045
PMID:26401113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4560477/
Abstract

Minimally invasive surgery, specifically robotic surgery, became a common technique used by gynecological surgeons over the last decade. The realization of the first human uterine transplantation commenced new perspectives in the treatment of uterine agenesia or infertility in women with history of hysterectomy at a young age. Robot-assisted technique may enhance the safety of the procedure by facilitating the microvascular anastomosis, vaginal anastomosis, and ligaments' fixation. This study proposes the formation of a multicenter collaboration group to organize a protocol with the aim to clarify the possible role of robotic surgery in uterine transplantation.

摘要

在过去十年中,微创手术,特别是机器人手术,已成为妇科外科医生常用的技术。首例人类子宫移植的实现为治疗子宫发育不全或年轻时有子宫切除史的女性不孕症开创了新的前景。机器人辅助技术可通过促进微血管吻合、阴道吻合和韧带固定来提高手术的安全性。本研究提议成立一个多中心协作小组,制定一项方案,以阐明机器人手术在子宫移植中可能发挥的作用。

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本文引用的文献

1
Robotic retroperitoneal lymph node dissection in gynaecological neoplasms: comparison of extraperitoneal and transperitoneal lymphadenectomy.妇科肿瘤的机器人腹膜后淋巴结清扫术:腹膜外与经腹淋巴结切除术的比较
Arch Gynecol Obstet. 2016 Jan;293(1):11-28. doi: 10.1007/s00404-015-3814-y. Epub 2015 Jul 19.
2
Might uterus transplantation be an option for uterine factor infertility?子宫移植会是子宫因素不孕症的一种选择吗?
J Turk Ger Gynecol Assoc. 2015 Mar 1;16(1):45-8. doi: 10.5152/jtgga.2015.15107. eCollection 2015.
3
Uterine transplantation in primates: a mini-review of the literature.灵长类动物的子宫移植:文献综述
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4
First clinical uterus transplantation trial: a six-month report.首例临床子宫移植试验:6 个月报告。
Fertil Steril. 2014 May;101(5):1228-36. doi: 10.1016/j.fertnstert.2014.02.024. Epub 2014 Feb 27.
5
The role of uterine manipulators in endometrial cancer recurrence after laparoscopic or robotic procedures.子宫操作器在腹腔镜或机器人手术后子宫内膜癌复发中的作用。
Arch Gynecol Obstet. 2013 Nov;288(5):1003-9. doi: 10.1007/s00404-013-3031-5. Epub 2013 Sep 22.
6
Medical and ethical considerations in uterus transplantation.子宫移植的医学和伦理问题。
Int J Gynaecol Obstet. 2013 Nov;123(2):173-7. doi: 10.1016/j.ijgo.2013.05.010. Epub 2013 Jul 31.
7
Clinical pregnancy after uterus transplantation.子宫移植后的临床妊娠。
Fertil Steril. 2013 Nov;100(5):1358-63. doi: 10.1016/j.fertnstert.2013.06.027. Epub 2013 Jul 3.
8
Robotic surgery: gynecologic oncology.机器人手术:妇科肿瘤学。
Cancer J. 2013 Mar-Apr;19(2):167-76. doi: 10.1097/PPO.0b013e31828a3293.
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Robotic surgery for cancer.机器人手术治疗癌症。
Cancer J. 2013 Mar-Apr;19(2):130-2. doi: 10.1097/PPO.0b013e31828da251.
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Preliminary results of the first human uterus transplantation from a multiorgan donor.首例多器官供体人类子宫移植的初步结果。
Fertil Steril. 2013 Feb;99(2):470-6. doi: 10.1016/j.fertnstert.2012.09.035. Epub 2012 Oct 18.