机器人辅助主动脉旁淋巴结清扫术：妇科肿瘤学的技术和适应症

IF 3.9 2区医学 Q1 OBSTETRICS & GYNECOLOGY Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-21 DOI:10.1016/j.bpobgyn.2023.102401

Jordi Ponce MD PhD , Sergi Fernández PhD , Marc Barahona PhD , José Manuel Martínez PhD , Carlos Ortega PhD , Lola Martí MD PhD

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引用次数: 0

摘要

微创手术的好处已经被证明是妇科手术的首选方法。随着机器人手术的发展，许多高度复杂的手术都可以从这些优势中受益。由于主动脉腔淋巴结切除术的复杂性，手术技术方案已被描述为通过最大化收益来降低风险。我们描述了使用五个端口（4个机械臂和一名助手）来处理上腹部区域的技术，并在每个位置推荐不同的器械，以减少错误并优化手术时间。在“循序渐进”的描述之后，我们总结了不同阶段每种妇科癌症主动脉腔淋巴结切除术的适应症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Robotic-assisted para-aortic lymphadenectomy: Technique and indications in gynecological oncology

The benefits of minimally-invasive surgeries have been documented, and they have been established as the preferred approach for gynecological surgeries. With the development of robotic surgery, many highly complex surgeries can benefit from these advantages. Due to the complexity of aortocaval lymphadenectomy, surgical technique protocols have been described to reduce risks by maximizing benefits.

We describe the technique using five ports (4 robotic arms and an assistant) to work the upper abdominal field, and different instruments recommended in each of their positions to reduce errors and optimize surgical time. After the “step by step” description, we summarize indications of aortocaval lymphadenectomy for every gynecological cancer in different stages.

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来源期刊

Best Practice & Research Clinical Obstetrics & Gynaecology 医学-妇产科学

CiteScore

9.40

自引率

1.80%

发文量

113

审稿时长

54 days

期刊介绍： In practical paperback format, each 200 page topic-based issue of Best Practice & Research Clinical Obstetrics & Gynaecology will provide a comprehensive review of current clinical practice and thinking within the specialties of obstetrics and gynaecology. All chapters take the form of practical, evidence-based reviews that seek to address key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. Management will be described in practical terms so that it can be applied to the individual patient.