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机器人手术在宫颈癌治疗中的作用。

Role of robotic surgery in cervical malignancy.

机构信息

Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

出版信息

Best Pract Res Clin Obstet Gynaecol. 2017 Nov;45:60-73. doi: 10.1016/j.bpobgyn.2017.03.009. Epub 2017 Apr 24.

Abstract

Surgical treatment is the mainstay of the management of early-stage cervical cancer. Abdominal radical hysterectomy and trachelectomy have long been the standard surgical approach to early-stage cervical cancer, achieving excellent survival outcomes. Recently, laparoscopic radical hysterectomy and trachelectomy have become the preferred alternative to abdominal surgery because laparoscopic approaches lead to better surgical outcomes without compromising survival outcomes. Since the robotic surgery platform was approved for the use of gynaecologic surgery in 2005, robotic radical hysterectomy and trachelectomy have been increasingly used in the surgical management of early-stage cervical cancer. However, the role of robotic surgery is poorly defined. This review examines the role of robotic surgery in the surgical management of cervical cancer by comparing the published data on its use with those of abdominal and laparoscopic surgeries.

摘要

手术治疗是早期宫颈癌治疗的主要手段。腹式根治性子宫切除术和宫颈切除术一直是早期宫颈癌的标准手术方法,可获得极佳的生存结局。近年来,腹腔镜根治性子宫切除术和宫颈切除术已成为腹部手术的首选替代方法,因为腹腔镜方法可改善手术结局,而不影响生存结局。自 2005 年机器人手术平台获准用于妇科手术以来,机器人根治性子宫切除术和宫颈切除术已越来越多地用于早期宫颈癌的手术治疗。然而,机器人手术的作用尚未明确。本综述通过比较其在腹式和腹腔镜手术中的应用数据,来探讨机器人手术在宫颈癌手术治疗中的作用。

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