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德国妇科内镜学会成员关于机器人手术治疗卵巢肿瘤的现状实践和意见调查。

Survey of current practices and opinions of German Society of Gynecologic Endoscopy members regarding the treatment of ovarian neoplasia by robotic surgery.

机构信息

Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.

Department of Gynecology and Obstetrics, Klinikum Bremen Nord, Bremen, Germany.

出版信息

Arch Gynecol Obstet. 2021 May;303(5):1305-1313. doi: 10.1007/s00404-020-05876-w. Epub 2020 Nov 17.

Abstract

PURPOSE

As data on this topic are sparse and contradictory, we aimed to ascertain the opinions of the members of the German Society of Gynecologic Endoscopy (AGE) regarding the use of robotic surgery in the treatment of ovarian malignancies.

METHODS

In 2015, an anonymous questionnaire was sent to AGE members to assess their views on the treatment of ovarian malignancies by robotic surgery according to T stage and the current treatment practices in their facilities.

RESULTS

Of the 228 respondents, 132 (58%) were fellows or attending physicians and 156 (68%) worked at university hospitals or tertiary referral centers. Most [n = 218 (96%)] respondents reported treating < 10% of their patients using robotic surgery. Respondents felt that T1 and borderline ovarian tumors, but not T2 (51%) or T3/4 (76%) tumors, should and could be treated by robot surgery. 162 (71%) respondents considered the currently available data on this subject to be insufficient, and 42% indicated their willingness to participate in clinical studies on the applicability of robotic surgery to the treatment of T1/2 ovarian tumors.

CONCLUSION

The majority of AGE members surveyed considered robotic surgery to be an option for the treatment of T1 ovarian malignancies and borderline ovarian tumors. However, prospective randomized studies are needed to determine the relevance of robotic surgery in this context.

摘要

目的

由于该主题的数据稀少且相互矛盾,我们旨在确定德国妇科内镜学会(AGE)成员对使用机器人手术治疗卵巢恶性肿瘤的看法。

方法

2015 年,向 AGE 成员发送了一份匿名问卷,以评估他们根据 T 分期对机器人手术治疗卵巢恶性肿瘤的看法以及他们所在机构的当前治疗实践。

结果

在 228 名受访者中,132 名(58%)为研究员或主治医生,156 名(68%)在大学医院或三级转诊中心工作。大多数[n=218(96%)]受访者报告称,他们使用机器人手术治疗的患者<10%。受访者认为 T1 和交界性卵巢肿瘤,但不是 T2(51%)或 T3/4(76%)肿瘤,应该且可以通过机器人手术治疗。162 名(71%)受访者认为目前关于这个主题的数据不足,42%的受访者表示愿意参与关于机器人手术在治疗 T1/2 卵巢肿瘤中的适用性的临床研究。

结论

大多数接受调查的 AGE 成员认为机器人手术是治疗 T1 卵巢恶性肿瘤和交界性卵巢肿瘤的一种选择。然而,需要前瞻性随机研究来确定机器人手术在这方面的相关性。

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本文引用的文献

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NCCN Guidelines Insights: Ovarian Cancer, Version 1.2019.NCCN 指南解读:卵巢癌,第 1.2019 版。
J Natl Compr Canc Netw. 2019 Aug 1;17(8):896-909. doi: 10.6004/jnccn.2019.0039.
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Robot-assisted Surgery in Gynecologic Cancers.妇科癌症中的机器人辅助手术
J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):379-396. doi: 10.1016/j.jmig.2017.01.006. Epub 2017 Jan 16.
7
Robotic surgery in gynecologic cancer.机器人手术在妇科癌症中的应用。
Curr Opin Obstet Gynecol. 2012 Feb;24(1):14-23. doi: 10.1097/GCO.0b013e32834daebc.

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