DA Vinci机器人手术系统治疗子宫内膜癌1例

Ai-ming Lin, Xin-Sheng Lyu, Xiaojie Wang
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摘要

子宫内膜癌是女性生殖道最常见的肿瘤之一,严重影响女性健康。对于子宫内膜癌患者来说,手术治疗是至关重要的,因为大多数患者在首次诊断时处于疾病的早期阶段,预后良好。目前,子宫内膜癌常用的手术方式有传统的开放手术、腹腔镜手术、单孔内镜手术、机器人手术系统等,为该病的治疗带来了新的希望。作为一项新兴的先进技术,机器人辅助手术(robot-assisted surgery, RAS)在克服解剖复杂、低暴露、手术精度、淋巴结固定等优点的同时,也降低了术后并发症的发生率。我们报告一位52岁的子宫内膜癌患者,主诉有2个月的阴道出血史。经宫腔镜子宫内膜取样,诊断肿块位于宫颈与子宫腔交界处。患者术前成功诊断为子宫内膜癌(II型,II期),采用达芬奇机器人手术系统行根治性子宫切除术(II型)、大网膜切除术、盆腔及腹部腹主动脉旁淋巴结切除术。这个视频的目的是描述这种手术的使用,并分享我们的经验达芬奇机器人手术系统。
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A case report of endomrtrial carcinoma by DA Vinci robotic surgical system
: Endometrial carcinoma is one of the most common cancers in the female reproductive tract, which affects women’s health seriously. It is of vital important for patients of endometrial carcinoma to undergo surgery treatment, since most patients are in the early stages of the disease when they are first diagnosed with good prognosis. At present, the commonly used surgical methods for endometrial cancer include traditional open surgery, laparoscopic surgery, single-hole endoscopic surgery, and robot surgery system, which brings new hope for the disease treatment. As a new advanced technology, robot-assisted surgery (RAS) has shown a few of advantages over traditional surgery, especially it can not only overcome complex anatomy, low exposure, surgical precision, and fixing lymph node, but also decrease the incidence of postoperative complication. We reported a 52-year-old patient with endometrial carcinoma complained of 2-month history of vaginal bleeding. After undergoing endometrial sampling with hysteroscopy, the patient was diagnosed that the mass was located in the border of cervix and uterus cavity. Successfully, the patient was preoperative diagnosed as endometrial carcinoma (type II, stage II) and accepted radical hysterectomy (type II), omentum resection, pelvic and abdominal para-aortic lymphadenectomy with DA Vinci robotic surgical system. The aim of this video is to describe the use of this kind of surgery, and share our experience of DA Vinci robotic surgical system.
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