摘要
腹主动脉旁淋巴结评估及手术切除是妇科恶性肿瘤诊疗中的关键环节,对于明确分期、降低肿瘤负荷和指导后续治疗具有重要意义。机器人单孔腹腔镜旨在最大化微创路径优势的同时,凭借其3D高清的视野、灵活腕转的器械、稳定除颤的操作和舒适的人体工程学设计,突破传统单孔手术暴露困难、操作受限等技术壁垒。该技术不仅有助于减少手术创伤、加速患者康复、降低手术相关并发症风险,同时有助于缩短术者学习曲线,提高手术的安全性、精确性和彻底性,在腹主动脉旁淋巴结切除中展现出良好的应用前景和技术优势。本文系统梳理了妇科恶性肿瘤腹主动脉旁淋巴结切除的手术指征,对机器人单孔腹腔镜实施腹主动脉旁淋巴结切除的临床优势和技术要点进行了详细阐述,以期为此类患者的临床治疗提供技术参考。
Assessment of para-aortic lymph nodes and surgical resection are critical for accurate staging,reducing tumor burden,and guiding subsequent therapy in gynecological cancers.Robotic laparoendoscopic single-port surgery is designed to maximize the benefits of minimally invasive approaches,leveraging 3-dimensional high-definition visualization,flexible and wristed instruments,tremor filtration,and ergonomic design to overcome the technical limitations of conventional single-port surgery.This approach not only minimizes trauma,accelerates recovery,and reduces complication risks,but also shortens the learning curve,improves safety,increases precision,and enhances the thoroughness of procedures.It offers promising clinical potential and technical advantages for para-aortic lymphadenectomy.This article systematically reviews the surgical indications and elaborates on the advantages and key technical aspects of robotic laparoendoscopic single-port para-aortic lymphadenectomy for gynecological cancers,aiming to provide evidence-based guidance for clinical practice.
作者
陈宇
易莹
郑莹
CHEN Yu;YI Ying;ZHENG Ying(Department of Gynecology,West China Second University Hospital,Sichuan University,Chengdu 610066,Sichuan,China;Key Laboratory of Birth Defects and Related Diseases of Women and Children,Ministry of Education,Chengdu 610041,Sichuan,China)
出处
《海军军医大学学报》
北大核心
2025年第11期1401-1406,共6页
Academic Journal of Naval Medical University
基金
国家重点研发计划(2022YFC2704103)
四川省科技厅重点研发项目(23ZDYF1628)。
关键词
机器人辅助腹腔镜手术
单孔腹腔镜手术
腹主动脉旁淋巴结切除术
卵巢肿瘤
宫颈肿瘤
子宫内膜肿瘤
robot-assisted laparoscopic surgery
single-port laparoscopic surgery
para-aortic lymphadenectomy
ovarian neoplasms
uterine cervical neoplasms
endometrial neoplasms
