• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.3390/jcm11113221
PMID:35683608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9181482/
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/f9f69c9f501d/jcm-11-03221-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/07d2fb7d69b8/jcm-11-03221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/54af6e7db755/jcm-11-03221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/b9c9d20bac64/jcm-11-03221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/552a2ab0b791/jcm-11-03221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/276f5ba5477b/jcm-11-03221-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/17351e66c72b/jcm-11-03221-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/339ca192765e/jcm-11-03221-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/16d6c39bf94c/jcm-11-03221-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/f9f69c9f501d/jcm-11-03221-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/07d2fb7d69b8/jcm-11-03221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/54af6e7db755/jcm-11-03221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/b9c9d20bac64/jcm-11-03221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/552a2ab0b791/jcm-11-03221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/276f5ba5477b/jcm-11-03221-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/17351e66c72b/jcm-11-03221-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/339ca192765e/jcm-11-03221-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/16d6c39bf94c/jcm-11-03221-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/9181482/f9f69c9f501d/jcm-11-03221-g009.jpg

相似文献

1
Tips and Details for Successful Robotic Myomectomy: Single-Center Experience with the First 125 Cases.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
J Clin Med. 2022 Jun 5;11(11):3221. doi: 10.3390/jcm11113221.
2
Robot-assisted laparoscopic myomectomy: current status.机器人辅助腹腔镜子宫肌瘤切除术:现状
Robot Surg. 2017 Jan 23;4:7-18. doi: 10.2147/RSRR.S102743. eCollection 2017.
3
Robotic-assisted minimally invasive surgery for gynecologic and urologic oncology: an evidence-based analysis.机器人辅助微创手术在妇科和泌尿外科肿瘤学中的应用:一项基于证据的分析。
Ont Health Technol Assess Ser. 2010;10(27):1-118. Epub 2010 Dec 1.
4
Robotic surgery in gynecology.妇科机器人手术
J Minim Access Surg. 2015 Jan-Mar;11(1):50-9. doi: 10.4103/0972-9941.147690.
5
[Robotic surgery in gynecology].[妇科机器人手术]
Ginekol Pol. 2012 Dec;83(12):934-8.
6
Robot-assisted single-incision laparoscopic myomectomy: initial report and technique.机器人辅助单切口腹腔镜子宫肌瘤切除术:初步报告及技术
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.腹腔镜子宫肌瘤剔除术在子宫肌瘤治疗中的作用。
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.机器人辅助腹腔镜子宫肌瘤切除术在多发性肌瘤中是否受限?:针对十个或更多肌瘤的可行性研究。
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.机器人单孔子宫肌瘤切除术:分步教程
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.机器人与腹腔镜肾上腺切除术:大容量中心的对比研究。
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.宫颈肌瘤:根据肌瘤起源、生长方向和位置进行分类的经阴道肌瘤包膜内切除术。
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.保留子宫意愿的女性大型宫颈肌瘤的阴道肌瘤切除术:病例系列
Cureus. 2025 Apr 22;17(4):e82788. doi: 10.7759/cureus.82788. eCollection 2025 Apr.

本文引用的文献

1
A novel technique for myometrial defect closure after robot-assisted laparoscopic adenomyomectomy: A retrospective cohort study.机器人辅助腹腔镜子宫腺肌瘤剔除术后子宫肌层缺损闭合的新方法:一项回顾性队列研究。
Taiwan J Obstet Gynecol. 2022 Jan;61(1):75-79. doi: 10.1016/j.tjog.2021.11.014.
2
Preoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route.子宫肌瘤行腹内手术的女性术前 MRI 和 LDH:对手术路径的影响。
PLoS One. 2021 Feb 9;16(2):e0246807. doi: 10.1371/journal.pone.0246807. eCollection 2021.
3
Nationwide population-based cohort study of adverse obstetric outcomes in pregnancies with myoma or following myomectomy: retrospective cohort study.
全国基于人群的队列研究显示,子宫肌瘤或子宫肌瘤剔除术后妊娠的不良产科结局:回顾性队列研究。
BMC Pregnancy Childbirth. 2020 Nov 23;20(1):716. doi: 10.1186/s12884-020-03406-9.
4
Haptic Glove Using Tendon-Driven Soft Robotic Mechanism.采用肌腱驱动软机器人机制的触觉手套。
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.复杂病例中的全机器人子宫肌瘤切除术:拓展极限
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.使用机器人辅助腹腔镜手术保留子宫治疗盆腔器官脱垂和压力性尿失禁。病例报告。
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.在腹腔镜和机器人手术中使用吲哚菁绿(ICG)荧光进行图像引导的小儿外科手术。
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.腹腔镜子宫肌瘤切除术治疗大型子宫肌瘤
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.腹腔镜子宫肌瘤剔除术中袋内手动粉碎术与无包膜动力粉碎术的比较
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.选择性孕激素受体调节剂——作用机制与治疗用途。
Endocr Rev. 2020 Oct 1;41(5). doi: 10.1210/endrev/bnaa012.