单孔机器人辅助经阴道骶骨固定术：技术与技巧。
Single port robotic assisted sacrocolpopexy: technique and tips.
机构信息
Department of Gynecologic Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.
Department of Urology, Mayo Clinic Arizona, Phoenix, AZ, USA.
出版信息
Int Urogynecol J. 2022 Oct;33(10):2905. doi: 10.1007/s00192-022-05084-x. Epub 2022 Mar 25.
INTRODUCTION AND HYPOTHESIS
Sacrocolpopexy is the most durable surgical procedure for the treatment of symptomatic pelvic organ prolapse (Maher et al. Cochrane Database Syst Rev. 2013;(4):CD004014). The single port robotic platform has recently been approved in the USA for use in urological surgery. Innovation in robotic surgery continues to evolve, minimizing abdominal wall trauma while improving instrumentation and technical feasibility. Identifying the appropriate procedures to utilize novel technology is important to understand the role of new surgical tools. Sacrocolpopexy procedure, when performed with supracervical hysterectomy, requires extension of an incision for specimen retrieval, making it ideal for single port surgery. The technique and adaptation to new instrumentation is demonstrated in this video.
METHOD
A surgical demonstration of single port robotic sacrocolpopexy is shown.
RESULTS
Sacrocolpopexy was successfully completed using the single port robotic platform.
CONCLUSIONS
Sacrocolpopexy is technically feasible with use of the single port robotic platform.
简介和假设
经阴道骶骨固定术（Sacrocolpopexy）是治疗有症状的盆腔器官脱垂的最持久的手术方法（Maher 等人，Cochrane Database Syst Rev. 2013 年；（4）：CD004014）。单端口机器人平台最近已在美国获得批准，可用于泌尿科手术。机器人手术的创新不断发展，在减少腹壁创伤的同时，改善了仪器设备和技术可行性。确定使用新技术的合适手术方法对于了解新手术工具的作用非常重要。经阴道骶骨固定术（Sacrocolpopexy）与经宫颈子宫切除术（supracervical hysterectomy）联合应用时，需要扩大切口以取出标本，因此非常适合单端口手术。该视频展示了这项技术以及对新仪器设备的应用。
方法
展示了单端口机器人经阴道骶骨固定术的手术演示。
结果
成功完成了单端口机器人经阴道骶骨固定术。
结论
使用单端口机器人平台，经阴道骶骨固定术在技术上是可行的。
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