Takmaz Ozguc, Asoglu Mehmet Resit, Gungor Mete
Acibadem Maslak Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey; Acibadem Mehmet Ali Aydinlar University, Department of Obstetrics and Gynecology, Division of Minimally Invasive Surgery, Istanbul, Turkey.
Acibadem Maslak Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2018 Apr;223:8-13. doi: 10.1016/j.ejogrb.2018.02.002. Epub 2018 Feb 6.
Robotic surgical platforms are now in widespread use in the practice of gynecology all over the world. The introduction of robotic surgery has required some modifications of patient positioning when compared to standard laparoscopic surgery. Optimal patient positioning is likely to be the most essential step of robotic surgery as it provides the technical feasibility to have adequate access to the pelvic structures for performing the surgery. It is prudent to pay attention to preventing patient shifting in Trendelenburg position because of tendency of sliding down toward the direction of the head. Inappropriate patient positioning is associated with inadequate exposure of the operative field as well as detrimental complications that may lead to long-term side effects. These issues can be reduced with use of proper or strategic positioning technique. The purpose of this review is to highlight important points to properly position patient for robot-assisted laparoscopic benign gynecologic surgery and protect patient from position-related injuries.
机器人手术平台目前在全球妇科手术实践中得到广泛应用。与标准腹腔镜手术相比，机器人手术的引入需要对患者体位进行一些调整。最佳的患者体位可能是机器人手术最重要的步骤，因为它为充分暴露盆腔结构以进行手术提供了技术可行性。由于患者有向头部方向下滑的趋势，因此在特伦德伦伯格体位时要注意防止患者移位。不恰当的患者体位会导致手术视野暴露不足，以及可能导致长期副作用的有害并发症。使用适当或策略性的体位技术可以减少这些问题。本综述的目的是强调在机器人辅助腹腔镜良性妇科手术中正确安置患者体位的要点，并保护患者免受与体位相关的损伤。
