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机器人技术的出现使外科微创手术进入新的发展阶段。在妇科恶性肿瘤手术治疗中机器人也逐步得到应用,其主要应用于宫颈癌的广泛性全子宫切除和盆腔淋巴清扫术,此外机器人根治性宫颈切除术、晚期宫颈癌分期手术及复发性宫颈癌的盆腔脏器切除术也有相关报道;子宫内膜癌和卵巢癌的机器人分期手术也日趋增多。目前,机器人手术多是回顾性病例报告,缺乏随机对照、大样本比较性研究,其适应证和手术效果还需要大量临床探索,以作出全面的评价。
The emergence of robotics makes surgical minimally invasive surgery into a new stage of development. In the surgical treatment of gynecologic malignancies, robots are also gradually applied, which is mainly applied to the extensive hysterectomy and pelvic lymphadenectomy of cervical cancer. In addition, robotic radical cervical resection, advanced cervical cancer staging and recurrent cervical cancer Pelvic organ resection has also been reported; endometrial and ovarian cancer robotic staging surgery is also increasing. Currently, robotic surgery is mostly retrospective case reports, the lack of randomized controlled, large sample comparative study, its indications and surgical results also need a lot of clinical exploration to make a comprehensive evaluation.