Matthews Catherine A
Departments of Urology and Ob/Gyn, Wake Forest Baptist Medical Center, Winston Salem, North Carolina.
Clin Obstet Gynecol. 2017 Jun;60(2):296-311. doi: 10.1097/GRF.0000000000000274.
Within the last 10 years there have been significant advances in minimal-access surgery. Although no emerging technology has demonstrated improved outcomes or fewer complications than standard laparoscopy, the introduction of the robotic surgical platform has significantly lowered abdominal hysterectomy rates. While operative time and cost were higher in robotic-assisted procedures when the technology was first introduced, newer studies demonstrate equivalent or improved robotic surgical efficiency with increased experience. Single-port hysterectomy has not improved postoperative pain or subjective cosmetic results. Emerging platforms with flexible, articulating instruments may increase the uptake of single-port procedures including natural orifice transluminal endoscopic cases.
在过去10年里，微创外科取得了重大进展。尽管没有任何新兴技术显示出比标准腹腔镜手术更好的疗效或更少的并发症，但机器人手术平台的引入显著降低了腹式子宫切除术的发生率。虽然在该技术刚推出时，机器人辅助手术的手术时间和成本较高，但最新研究表明，随着经验的增加，机器人手术效率相当或有所提高。单孔子宫切除术并未改善术后疼痛或主观美容效果。具有灵活、可弯曲器械的新兴平台可能会增加单孔手术的采用率，包括经自然腔道内镜手术病例。
