Pilka R
Rozhl Chir. 2017 Winter;96(2):54-62.
The aim of this review is to provide a general historical and contemporary perspective on the implementation and use of robot-assisted laparoscopy in gynecology as well as the experience gained to date.
Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, radical hysterectomy, lymph node dissections or sacrocolpopexies. Robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes, decreased blood loss and shorter hospital stay when compared to open or laparoscopic surgery.
Robotic surgery is associated with a shorter learning curve and has allowed a larger number of gynecologists to master complex laparoscopic procedures. Robot-assisted surgery offers all the benefits of minimally invasive surgery, making them accessible to a much broader spectrum of patients.Key words: robotic surgery - gynecology hysterectomy - da Vinci laparoscopy.
本综述的目的是提供关于机器人辅助腹腔镜手术在妇科中的应用与使用情况的一般历史及当代视角，以及迄今为止所获得的经验。
妇科机器人辅助腹腔镜手术包括良性子宫切除术、子宫肌瘤切除术、根治性子宫切除术、淋巴结清扫术或骶骨阴道固定术。与开放手术或腹腔镜手术相比，机器人辅助妇科手术通常手术时间更长，但临床结果总体相似，出血量减少且住院时间缩短。
机器人手术的学习曲线较短，使更多妇科医生能够掌握复杂的腹腔镜手术操作。机器人辅助手术具备微创手术的所有优点，让更多患者能够接受此类手术。关键词：机器人手术 - 妇科子宫切除术 - 达芬奇腹腔镜手术
