Medical Sciences Postgraduate Program, School of Medicine, University of Brasilia, Federal District, Brasilia, Brazil.
Department of Colorectal Surgery, University Hospital of Brasília, Brasília, Brazil.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241294219. doi: 10.1177/17455057241294219.
Fertility preservation is a major concern for women with ulcerative colitis who require surgical treatment. Previous studies have shown that the risk of infertility after restorative proctocolectomy is approximately four times higher. However, this risk appears to be lower in patients who undergo minimally invasive approaches, such as laparoscopic surgery. The benefits of laparoscopy have led to a debate on whether robotic-assisted surgery could offer better results in terms of fertility. Surgical robotic platforms can provide improved visualization of the pelvis and more precise dissection of anatomical structures. In theory, this could reduce tissue damage and the inflammatory response, leading to lower adhesion formation and fallopian tube blockage, thereby preserving fertility.
生育力保存是溃疡性结肠炎女性患者在需要手术治疗时的一个主要关注点。既往研究表明，接受直肠结肠切除术（restorative proctocolectomy）后的不孕风险大约增加四倍。然而，对于采用微创方法（如腹腔镜手术）的患者，该风险似乎较低。腹腔镜手术的优势使得人们开始争论机器人辅助手术是否在生育力方面能提供更好的结果。手术机器人平台可以提供骨盆更好的可视化效果，更精准地解剖解剖结构。理论上，这可以减少组织损伤和炎症反应，从而减少粘连形成和输卵管阻塞，进而保存生育力。
