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成功实施机器人子宫肌瘤切除术的技巧与细节:单中心125例首诊病例经验

Tips and Details for Successful Robotic Myomectomy: Single-Center Experience with the First 125 Cases.

作者信息

Dou Lei, Zhang Yi

机构信息

Department of Gynecology, The First Hospital of China Medical University, Shenyang 110002, China.

出版信息

J Clin Med. 2022 Jun 5;11(11):3221. doi: 10.3390/jcm11113221.

Abstract

With the continuous development of minimally invasive and precise surgical techniques, laparoscopic myomectomy has become a mainstream surgical method due to its aesthetic outcomes and rapid postoperative recovery. However, during laparoscopic myomectomy, clinicians often encounter unfavorable factors, such as limited vision, inaccurate suturing, difficulty in removing tumors, and susceptibility to fatigue in the operating position. In recent years, robot-assisted surgery has been widely used in gynecology. The advantages of this technique, such as a three-dimensional surgical view, reducing the surgeon's tremor, and the seven degrees of freedom of the robotic arms, compensate for the defects in laparoscopic surgery. The Department of Gynecology in our hospital has accumulated a wealth of experience since robot-assisted surgery was first carried out in 2017. In this article, the surgical skills of the robotic myomectomy process are described in detail.

摘要

随着微创和精准手术技术的不断发展,腹腔镜子宫肌瘤切除术因其美观的手术效果和术后快速恢复而成为主流手术方法。然而,在腹腔镜子宫肌瘤切除术过程中,临床医生经常遇到不利因素,如视野受限、缝合不准确、肿瘤切除困难以及手术体位易疲劳等。近年来,机器人辅助手术已在妇科广泛应用。该技术的优势,如三维手术视野、减少外科医生的震颤以及机器人手臂的七个自由度,弥补了腹腔镜手术的缺陷。自2017年首次开展机器人辅助手术以来,我院妇科积累了丰富的经验。本文详细描述了机器人子宫肌瘤切除术过程中的手术技巧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/07d2fb7d69b8/jcm-11-03221-g001.jpg

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