机器人手术对早期宫颈癌淋巴脉管间隙浸润影响的研究进展  

Research progress on the influence of robotic surgery on lymphovascular space invasion in early cervical cancer

作　　者：张好 王蓉 陈万丽 武加林 肖琳[1] ZHANG Hao;WANG Rong;CHEN Wanli;WU Jialin;XIAO Lin(Department of Gynecology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院妇科,重庆400016

出　　处：《机器人外科学杂志（中英文）》2022年第4期329-336,共8页Chinese Journal of Robotic Surgery

基　　金：重庆市自然科学基金(cstc2021jcyj-msxmX0120)。

摘　　要：宫颈癌是我国最常见的女性生殖系统恶性肿瘤。对于宫颈早期浸润癌,临床病理因素不仅是提示预后的重要线索,也是术后补充治疗的重要依据。淋巴脉管间隙浸润被认为是宫颈癌复发的中危因素之一,有研究报道淋巴脉管间隙浸润与淋巴结转移和深层间质浸润有关。目前对有淋巴脉管浸润的早期宫颈癌的治疗仍是以手术为主的综合治疗,术后根据相关危险因素制定患者的辅助治疗方案。机器人手术在早期宫颈癌治疗中广泛应用,尽管有研究表明微创手术可能与宫颈癌预后不良有关,且可能增加淋巴脉管浸润的发生率,但尚无研究表明机器人手术对淋巴脉管间隙浸润有明确影响。Cervical cancer is the most common malignant tumor that occurs in female reproductive system in China.Clinicopathological factors for early cervical cancer are very important to prognosis and postoperative decision-making.Lymphovascular space invasion is considered as one of the moderate risk factors to recurrence of cervical cancer.It is reported that lymphovascular space invasion maybe caused by lymph node metastasis and deep stromal invasion.At present,the standard treatment of early cervical cancer with lymphatic-vascular invasion is a comprehensive treatment based on radical hysterectomy,and postoperative treatment plan is made for patients in consideration of adverse pathologic factors.Robotic surgery has been widely used in the treatment of early cervical cancer.However,some studies indicated that minimally invasive surgery might be associated with poor prognosis of cervical cancer,and minimally invasive surgery might increase the incidence of lymphovascular space invasion.In spite of that,there’s no evidence that significant influence of robotic surgery on lymphovascular space invasion exists.

关 键 词：机器人手术 宫颈癌 淋巴管间隙浸润 脉管间隙浸润 微创手术 

分 类 号：R608[医药卫生—外科学] R713.4[医药卫生—临床医学]