Suppr超能文献

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

相似文献

2
Robot-assisted laparoscopic myomectomy: current status.
Robot Surg. 2017 Jan 23;4:7-18. doi: 10.2147/RSRR.S102743. eCollection 2017.
4
Robotic surgery in gynecology.
J Minim Access Surg. 2015 Jan-Mar;11(1):50-9. doi: 10.4103/0972-9941.147690.
5
[Robotic surgery in gynecology].
Ginekol Pol. 2012 Dec;83(12):934-8.
6
Robot-assisted single-incision laparoscopic myomectomy: initial report and technique.
J Robot Surg. 2013 Jun;7(2):137-42. doi: 10.1007/s11701-012-0356-1. Epub 2012 May 31.
7
The role of laparoscopic myomectomy in the management of uterine fibroids.
Curr Opin Obstet Gynecol. 2011 Aug;23(4):273-7. doi: 10.1097/GCO.0b013e328348a245.
8
Is robot-assisted laparoscopic myomectomy limited in multiple myomas?: a feasibility for ten or more myomas.
Obstet Gynecol Sci. 2018 Jan;61(1):135-141. doi: 10.5468/ogs.2018.61.1.135. Epub 2017 Dec 22.
9
Robotic single-site myomectomy: a step-by-step tutorial.
Fertil Steril. 2015 Nov;104(5):e13. doi: 10.1016/j.fertnstert.2015.07.1159. Epub 2015 Aug 20.
10
Robotic versus laparoscopic adrenalectomy: a comparative study in a high-volume center.
Surg Endosc. 2013 Feb;27(2):599-602. doi: 10.1007/s00464-012-2496-9. Epub 2012 Sep 7.

引用本文的文献

1
Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids' origin, growth directions, and localizations.
Front Med (Lausanne). 2025 May 9;12:1564667. doi: 10.3389/fmed.2025.1564667. eCollection 2025.
2
Vaginal Myomectomy for Large Intracervical Fibroids in Women Desirous of Preserving Their Uterus: A Case Series.
Cureus. 2025 Apr 22;17(4):e82788. doi: 10.7759/cureus.82788. eCollection 2025 Apr.

本文引用的文献

2
Preoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route.
PLoS One. 2021 Feb 9;16(2):e0246807. doi: 10.1371/journal.pone.0246807. eCollection 2021.
4
Haptic Glove Using Tendon-Driven Soft Robotic Mechanism.
Front Bioeng Biotechnol. 2020 Oct 8;8:541105. doi: 10.3389/fbioe.2020.541105. eCollection 2020.
5
Total Robotic Myomectomy in a Complex Case: Extending the Limits.
Gynecol Minim Invasive Ther. 2020 Aug 1;9(3):175-178. doi: 10.4103/GMIT.GMIT_95_19. eCollection 2020 Jul-Sep.
6
Uterine preservation in pelvic organ prolapse and urinary stress incontinence using robot-assisted laparoscopic surgery. Case report.
Int J Surg Case Rep. 2020;77S(Suppl):S143-S146. doi: 10.1016/j.ijscr.2020.08.055. Epub 2020 Sep 4.
7
Image-Guided Pediatric Surgery Using Indocyanine Green (ICG) Fluorescence in Laparoscopic and Robotic Surgery.
Front Pediatr. 2020 Jun 17;8:314. doi: 10.3389/fped.2020.00314. eCollection 2020.
8
Laparoscopic Myomectomy for the Removal of Large Uterine Myomas.
Surg J (N Y). 2019 Sep 11;6(Suppl 1):S44-S49. doi: 10.1055/s-0039-1694989. eCollection 2020 May.
9
In-bag manual versus uncontained power morcellation for laparoscopic myomectomy.
Cochrane Database Syst Rev. 2020 May 6;5(5):CD013352. doi: 10.1002/14651858.CD013352.pub2.
10
Selective Progesterone Receptor Modulators-Mechanisms and Therapeutic Utility.
Endocr Rev. 2020 Oct 1;41(5). doi: 10.1210/endrev/bnaa012.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验