Graves Claire E, Harrison Michael R, Padilla Benjamin E
Department of Surgery, University of California, San Francisco, 550 16th Street 5th Floor UCSF Mail Stop 0570, San Francisco, CA 94158-2549, USA.
University of California, San Francisco, 550 16th Street 5th Floor UCSF Mail Stop 0570, San Francisco, CA 94158-2549, USA.
Clin Perinatol. 2017 Dec;44(4):729-751. doi: 10.1016/j.clp.2017.08.001. Epub 2017 Sep 23.
Fetal surgery corrects severe congenital anomalies in utero to prevent their severe consequences on fetal development. The significant risk of open fetal operations to the pregnant mother has driven innovation toward minimally invasive procedures that decrease the risks inherent to hysterotomy. In this article, we discuss the basic principles of minimally invasive fetal surgery, the general history of its development, specific conditions and procedures used to treat them, and the future of the field.
胎儿手术可在子宫内矫正严重的先天性异常,以防止其对胎儿发育产生严重后果。开放性胎儿手术给孕妇带来的重大风险推动了向微创手术的创新,以降低子宫切开术固有的风险。在本文中,我们讨论了微创胎儿手术的基本原则、其发展的总体历程、用于治疗特定病症的具体方法和手术,以及该领域的未来。