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[妇科癌症中的机器人手术,尤其是宫颈癌手术]

[Robotic surgery in gynecologic cancer, especially in cervical cancer].

作者信息

Bánhidi Andor, Novák Zoltán

机构信息

Nőgyógyászati Osztály, Országos Onkológiai Intézet, Budapest, Hungary.

出版信息

Magy Onkol. 2022 Dec 31;66(4):295-301. Epub 2022 Dec 8.

Abstract

The development of robotic surgery is another step in the evolution of modern surgery. Robot-assisted minimally invasive procedures undoubtedly have many advantages compared to traditional laparotomy, which is why they have also been introduced in the treatment of gynecological cancers. Numerous studies have confirmed the advantages of robotic surgery in terms of quicker recovery, reduced blood loss, and shorter hospitalization. The technique provides a significant advantage in the minimally invasive treatment of overweight patients. However, in the treatment of cervical cancer, the use of minimally invasive procedures have declined in recent years due to worse oncological results. It is necessary to carry out further clinical trials in this indication using surgical solutions that prevent the spread of the tumor, in order to find out whether minimally invasive surgery regains its important role in the surgical treatment of early cervical cancer.

摘要

机器人手术的发展是现代手术演进中的又一步。与传统开腹手术相比,机器人辅助微创手术无疑具有诸多优势,这也是其在妇科癌症治疗中得以应用的原因。众多研究证实了机器人手术在恢复更快、失血更少以及住院时间更短方面的优势。该技术在超重患者的微创治疗中具有显著优势。然而,在宫颈癌治疗中,由于肿瘤学结果较差,近年来微创手术的应用有所减少。有必要针对这一适应症开展进一步的临床试验,采用能够防止肿瘤扩散的手术方案,以确定微创手术是否能在早期宫颈癌的手术治疗中重新发挥重要作用。

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