全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

达芬奇机器人在盆腔器官脱垂治疗中的应用
Application of the Da Vinci Robot in the Treatment of Pelvic Organ Prolapse

DOI: 10.12677/jcpm.2025.41078, PP. 536-541

Keywords: 盆腔器官脱垂,治疗,达芬奇机器人
Pelvic Organ Prolapse
, Treatment, Da Vinci Robot

Full-Text   Cite this paper   Add to My Lib

Abstract:

盆腔器官脱垂主要是指子宫、阴道前后壁及其相邻器官(膀胱或直肠)向下移位,其手术方式从经阴道缝合修补发展到经腹骶骨固定术,随着新技术的发展,达芬奇机器人逐渐应用于盆腔器官脱垂的治疗中,相较于传统手术方式,达芬奇机器人可给予术者更稳定的操作系统,更少的手术疲劳以及更加精细的操作,从而降低术中出血量、腹腔引流量等评价手术质量的临床指标,尽管其学习曲线时间较长,但随着术者的手术熟练度的提高,患者手术时间呈逐渐下降的趋势。随着网络技术的不断进步,借助达芬奇操作平台能够突破地域限制,使远程操控成为可能,有助于更好地进行医疗资源的分配。
Pelvic organ prolapse primarily refers to the downward displacement of the uterus, anterior and posterior vaginal walls, and adjacent organs (bladder or rectum). Surgical interventions for this condition have evolved from transvaginal suturing and repair to abdominal sacrocolpopexy. With the development of new technologies, the da Vinci robotic system has gradually been applied in the treatment of pelvic organ prolapse. Compared with traditional surgical approaches, the da Vinci robot provides surgeons with a more stable operating system, reduces surgical fatigue, and allows for more precise maneuvers, thereby decreasing intraoperative blood loss, drainage volume, and other clinical indicators that evaluate surgical quality. Although the learning curve for this technology is relatively long, as surgeons become more proficient, the operative time for patients tends to decrease gradually. With the continuous advancement of network technology, leveraging the da Vinci operating platform can transcend geographical limitations, making remote control a possibility and facilitating better allocation of medical resources.

References

[1]  刘畅, 杨盼盼, 张傢钧, 等. 机器人辅助腹部骶骨固定术的研究进展[J]. 国际妇产科学杂志, 2019, 46(4): 374-377.
[2]  张警方, 纪妹, 苑中甫, 等. 达芬奇机器人系统辅助腹腔镜骶骨阴道固定术治疗盆腔器官脱垂的效果[J]. 河南医学研究, 2020, 29(16): 2895-2899.
[3]  Bouquet de Joliniere, J., Librino, A., Dubuisson, J., Khomsi, F., Ben Ali, N., Fadhlaoui, A., et al. (2016) Robotic Surgery in Gynecology. Frontiers in Surgery, 3, Article No. 26.
https://doi.org/10.3389/fsurg.2016.00026
[4]  Liu, H., Lawrie, T.A., Lu, D., Song, H., Wang, L. and Shi, G. (2014) Robot-Assisted Surgery in Gynaecology. Cochrane Database of Systematic Reviews, 4, CD011422.
https://doi.org/10.1002/14651858.cd011422
[5]  Advincula, A.P. and Wang, K. (2009) Evolving Role and Current State of Robotics in Minimally Invasive Gynecologic Surgery. Journal of Minimally Invasive Gynecology, 16, 291-301.
https://doi.org/10.1016/j.jmig.2009.03.003
[6]  Hockstein, N.G., Gourin, C.G., Faust, R.A. and Terris, D.J. (2007) A History of Robots: From Science Fiction to Surgical Robotics. Journal of Robotic Surgery, 1, 113-118.
https://doi.org/10.1007/s11701-007-0021-2
[7]  Tan, J.S., Lukacz, E.S., Menefee, S.A., Luber, K.M., Albo, M.E. and Nager, C.W. (2006) Determinants of Vaginal Length. American Journal of Obstetrics and Gynecology, 195, 1846-1850.
https://doi.org/10.1016/j.ajog.2006.06.063
[8]  Nygaard, I.E., McCreery, R., Brubaker, L., Connolly, A., Cundiff, G., Weber, A.M., et al. (2004) Abdominal Sacrocolpopexy: A Comprehensive Review. Obstetrics & Gynecology, 104, 805-823.
https://doi.org/10.1097/01.aog.0000139514.90897.07
[9]  Maher, C.F., Feiner, B., DeCuyper, E.M., Nichlos, C.J., Hickey, K.V. and O’Rourke, P. (2011) Laparoscopic Sacral Colpopexy versus Total Vaginal Mesh for Vaginal Vault Prolapse: A Randomized Trial. American Journal of Obstetrics and Gynecology, 204, 360.e1-360.e7.
https://doi.org/10.1016/j.ajog.2010.11.016
[10]  White, W.M., Pickens, R.B., Elder, R.F. and Firoozi, F. (2014) Robotic-Assisted Sacrocolpopexy for Pelvic Organ Prolapse. Urologic Clinics of North America, 41, 549-557.
https://doi.org/10.1016/j.ucl.2014.07.009
[11]  何勇, 杨将, 张小艺, 等. 机器人与腹腔镜手术系统在骶骨固定术中应用与疗效的Meta分析[J]. 机器人外科学杂志(中英文), 2021, 2(1): 28-37.
[12]  李道云, 徐云, 芮小慧. 机器人辅助腹腔镜手术在妇科疾病中的应用[J]. 机器人外科学杂志(中英文), 2023, 4(6): 540-548.
[13]  Evangelopoulos, N., Nessi, A. and Achtari, C. (2024) Minimally Invasive Sacrocolpopexy: Efficiency of Robotic Assistance Compared to Standard Laparoscopy. Journal of Robotic Surgery, 18, Article No. 72.
https://doi.org/10.1007/s11701-023-01799-1
[14]  Wagner, L., Douvier, S., Ruffion, A., Saussine, C., Soustelle, L., Rigaud, J., et al. (2019) A Multicenter Randomized Trial Comparing Robot-Assisted versus Pure Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse. European Urology Supplements, 18, e1380-e1381.
https://doi.org/10.1016/s1569-9056(19)31000-0
[15]  Yang, J., He, Y., Zhang, X., Wang, Z., Zuo, X., Gao, L., et al. (2021) Robotic and Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review and Meta-Analysis. Annals of Translational Medicine, 9, 449-449.
https://doi.org/10.21037/atm-20-4347
[16]  De Gouveia De Sa, M., Claydon, L.S., Whitlow, B. and Dolcet Artahona, M.A. (2015) Robotic versus Laparoscopic Sacrocolpopexy for Treatment of Prolapse of the Apical Segment of the Vagina: A Systematic Review and Meta-Analysis. International Urogynecology Journal, 27, 355-366.
https://doi.org/10.1007/s00192-015-2763-0
[17]  Anger, J.T., Mueller, E.R., Tarnay, C., Smith, B., Stroupe, K., Rosenman, A., et al. (2014) Robotic Compared with Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial. Obstetrics & Gynecology, 123, 5-12.
https://doi.org/10.1097/aog.0000000000000006
[18]  Paraiso, M.F.R., Jelovsek, J.E., Frick, A., Chen, C.C.G. and Barber, M.D. (2011) Laparoscopic Compared with Robotic Sacrocolpopexy for Vaginal Prolapse: A Randomized Controlled Trial. Obstetrics & Gynecology, 118, 1005-1013.
https://doi.org/10.1097/aog.0b013e318231537c
[19]  王留利, 闫沛静, 杨克虎, 等. 机器人与腹腔镜手术治疗妇科疾病围术期效果对比分析[J]. 中华腔镜外科杂志(电子版), 2018, 11(6): 347-351.
[20]  Wei, W., Fang, Z.Y., Chen, Y.L., et al. (2023) Clinical Efficacy of Modified Sacral Fixation under Leonardo da Vinci Robot Laparoscopy for Pelvic Organ Prolapse. European Review for Medical and Pharmacological Sciences, 27, 6215-6222.
[21]  Yin, H., Zeng, F., Xue, M., et al. (2020) Therapeutic Effect of Robot-Assisted Laparoscopic Sacrocolpopexy in the Treatment of Pelvic Organ Prolapse. Journal of Central South University. Medical Sciences, 45, 709-714.
[22]  Kim, W.B., Lee, S.W., Lee, K.W., Kim, J.M., Kim, Y.H., Chung, S., et al. (2022) Robot-Assisted Laparoscopic Paravaginal Repair and Sacrocolpopexy in Patients with Pelvic Organ Prolapse. Urology, 164, 151-156.
https://doi.org/10.1016/j.urology.2021.12.011
[23]  Dabreteau, T., Delangle, R., Azaïs, H., Phé, V., Moawad, G., Uzan, C., et al. (2022) Robot-Assisted Sacrocolpopexy for Recurrent Pelvic Organ Prolapse: Insights for a Challenging Surgical Setting. Journal of Gynecology Obstetrics and Human Reproduction, 51, Article ID: 102380.
https://doi.org/10.1016/j.jogoh.2022.102380
[24]  Usta, T., Karacan, T., Kale, A., Mutlu, S. and Tıryakı, T. (2017) Robot-Assisted Laparoscopic Pectouteropexy: An Alternative Uterus-Sparing Technique for Pelvic Organ Prolapse Surgery. International Urogynecology Journal, 28, 1751-1753.
https://doi.org/10.1007/s00192-017-3326-3
[25]  van Zanten, F., Brem, C., Lenters, E., Broeders, I.A.M.J. and Schraffordt Koops, S.E. (2018) Sexual Function after Robot-Assisted Prolapse Surgery: A Prospective Study. International Urogynecology Journal, 29, 905-912.
https://doi.org/10.1007/s00192-018-3645-z
[26]  Hoyte, L., Rabbanifard, R., Mezzich, J., Bassaly, R. and Downes, K. (2012) Cost Analysis of Open versus Robotic-Assisted Sacrocolpopexy. Female Pelvic Medicine & Reconstructive Surgery, 18, 335-339.
https://doi.org/10.1097/spv.0b013e318270ade3
[27]  AAGL Advancing Minimally Invasive Gynecology Worldwide (2013) AAGL Position Statement: Robotic-Assisted Laparoscopic Surgery in Benign Gynecology. Journal of Minimally Invasive Gynecology, 20, 2-9.
[28]  Serati, M., Bogani, G., Sorice, P., Braga, A., Torella, M., Salvatore, S., et al. (2014) Robot-Assisted Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review and Meta-Analysis of Comparative Studies. European Urology, 66, 303-318.
https://doi.org/10.1016/j.eururo.2014.02.053
[29]  Nieboer, T.E. and Aarts, J.W.M. (2014) Robotic Compared with Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial. Obstetrics & Gynecology, 123, 1357-1358.
https://doi.org/10.1097/aog.0000000000000311
[30]  Louie, B.E., Farivar, A.S., Aye, R.W. and Vallières, E. (2012) Early Experience with Robotic Lung Resection Results in Similar Operative Outcomes and Morbidity When Compared with Matched Video-Assisted Thoracoscopic Surgery Cases. The Annals of Thoracic Surgery, 93, 1598-1605.
https://doi.org/10.1016/j.athoracsur.2012.01.067

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133