机器人辅助单孔腹腔镜技术在妇科领域的应用

Application of robotic-assisted laparoendoscopic single site technique in gynecology

摘要:

在外科学的发展史中，妇科是最早全面普及内镜技术的学科之一。从传统的多孔腹腔镜，到单孔腹腔镜，再到经阴道自然腔道的“无孔”内镜手术；由2D、3D腹腔镜到机器人手术系统；腹腔镜技术在妇科领域迅猛发展。单孔腹腔镜手术（laparoendoscopic single site surgery，LESS）和Da Vinci机器人手术系统结合，产生的机器人辅助单孔腹腔镜技术（robotic-as－sisted LESS，R-LESS）已能够完成多种良恶性手术，是安全可行的，也是微创手术领域的重大突破。

Abstract:

In the development of surgery，gynecology is one of the earliest disciplines adopting endoscopic technology. From the con－ventional multi-site laparoscopy to the single site，then to the scarless transvaginal natural orifice transluminal endoscopic surgery （vNOTES） and from 2D and 3D laparoscopy to robotic surgical system，laparoscopic technology has developed rapidly in gynecology. The robotic-assisted laparoendoscopic single site surgery（R-LESS），combining laparoendoscopic single site surgery（LESS） and Da Vinci robotic surgical system，is able to complete a variety of benign and malignant tumors，which is safe and feasible，and is also a major breakthrough in the field of minimally invasive surgery.