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子宫内膜癌的治疗原则以外科手术为主。达芬奇机器人手术作为一种微创手术,在过去10年的发展中技术日臻成熟,在妇科肿瘤微创手术领域正扮演越来越重要的角色。相比传统腹腔镜手术,达芬奇机器人手术系统的主要优势有:改进的三维立体术野,机械腕提高了手术灵巧度,震颤过滤系统提高了操作精准度。这些技术上的改进可以帮助妇科肿瘤医生为病情更加复杂的患者完成高难手术,尤其对于子宫内膜癌合并重度肥胖者。本文总结达芬奇机器人手术系统在子宫内膜癌治疗中的应用进展,与开腹手术和传统腹腔镜手术进行对比,有关新型机器人手术系统、创新、适用人群和学习曲线方面的内容也有涉及。
The principle of endometrial cancer treatment based surgery. As a minimally invasive surgery, DaVinci robotics has become increasingly mature over the past decade and is playing an increasingly important role in the field of minimally invasive gynecological cancer surgery. Compared with traditional laparoscopic surgery, the main advantages of the Da Vinci robotic surgical system are: improved three-dimensional surgery field, mechanical wrist to improve the dexterity of surgery, tremor filter system to improve the operation accuracy. These technical improvements can help gynecologic oncologists perform difficult surgery in patients with more complex conditions, especially for endometrial cancer with severe obesity. This article summarizes the advances in the use of Da Vinci robotic surgical systems in the treatment of endometrial cancer, compared with laparotomy and conventional laparoscopic procedures, as well as in the areas of novel robotic surgical systems, innovations, applicable populations and learning curves.