机器人辅助腹腔镜和腹腔镜下子宫内膜癌手术解剖学差异  

Anatomical differences between robot assisted laparoscopic and laparoscopic endometrial cancer surgery

作　　者：李芳梅[1] 张颐[1] LI Fang-mei;ZHANG Yi(The First Affiliated Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《中国实用妇科与产科杂志》2025年第1期49-52,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：辽宁省重点研发计划项目(2024JH2/102500019);2022年沈阳市科技计划(22-321-33-08);沈阳市科技局2023年助力中国医科大学高质量发展专项(23-506-3-01-10)。

摘　　要：子宫内膜癌作为妇科肿瘤中优选微创手术的癌种,在无瘤原则下,腹腔镜下子宫内膜癌广泛性子宫切除术的普及代表了诊疗技术的进步。近年来,以达芬奇为代表的手术机器人的推广和应用,一定程度上冲击了传统腹腔镜的重要地位,有学者称之为“高级腹腔镜”,代表了对这一技术的认可。文章通过对手术机器人特性的解读,结合子宫内膜癌手术的关键操作,从解剖层面思考两者之间的差异,如何实现最完整的肿瘤切除、最小的邻近结构和功能损伤、对机体最小的创伤应激等,真正实现“无血的术野和精细的解剖”。Endometrial cancer surgery is the preferred minimally invasive surgery in gynecological tumors.Under the tumor-free principle,the popularization of laparoscopic radical resection of endometrial cancer represents the progress in diagnosis and treatment technology.In recent years,the promotion and appli?cation of surgical robots represented by Da Vinci has impacted the importance of traditional laparoscopy to a certain extent.Some scholars call it“advanced lap?aroscopy”,which represents the recognition of this technology.Based on the interpretation of the char?acteristics of surgical robots and the key operations of endometrial cancer surgery,we think about the dif?ferences between the two procedures from the ana?tomical level,and explore how to achieve the most complete tumor resection,minimal adjacent structural and functional damage and minimal traumatic stress to the body,so as to truly achieve“bloodless surgical field and accurate dissection”.

关 键 词：机器人辅助腹腔镜手术 腹腔镜 手术 子宫内膜癌 解剖 

分 类 号：R737.3[医药卫生—肿瘤]