Robotic assisted laparoscopy for deep infiltrating endometriosis

IF 3.9 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-11-11 DOI:10.1016/j.bpobgyn.2023.102422

T. Hebert

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Abstract

Deep infiltrative endometriosis is a condition affecting up to 15 % of women of childbearing age, defined by extra uterine location of endometrial like tissues.

The symptoms of endometriosis range from severe dysmenorrhea to infertility, chronic pelvic pain, bowel dysfunction and urinary tract involvement to name the most common. Endometriosis has an impact on the quality of life of patients, with personal and social consequences.

Although medical treatment is indicated in the first instance, surgery may be necessary. Standard laparoscopy has become the gold standard for this surgery. However, surgery for deep infiltrative endometriosis is known to be highly complex, and the significant development of robotic assistance in recent years has had an impact on the evolution of surgical practice. This comprehensive review of the literature provides an overview of the contributions of robotic surgery in the field of endometriosis and gives an insight into the next steps in its development.

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机器人辅助腹腔镜治疗深浸润性子宫内膜异位症

深度浸润性子宫内膜异位症是一种影响多达15%的育龄妇女的疾病，由子宫内膜样组织的子宫外位置定义。子宫内膜异位症的症状从严重痛经到不孕症，慢性盆腔疼痛，肠功能障碍和尿路受累是最常见的。子宫内膜异位症对患者的生活质量有影响，对个人和社会都有影响。虽然首先需要药物治疗，但手术可能是必要的。标准腹腔镜已经成为这个手术的黄金标准。然而，深度浸润性子宫内膜异位症的手术非常复杂，近年来机器人辅助的显著发展对手术实践的发展产生了影响。这篇文献综述综述了机器人手术在子宫内膜异位症领域的贡献，并对其发展的下一步提出了见解。

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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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.