机器人辅助腹腔镜手术治疗围绝经期和绝经后妇女盆腔器官脱垂。

Ju Hee Kim, Sa Ra Lee, Eun Sil Lee, Sung Hoon Kim, Hee Dong Chae
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引用次数: 2

摘要

对于根尖室盆腔器官脱垂(POP)患者,腹腔骶colpop固定术被认为在性交困难较少和复发风险降低方面优于阴道入路。机器人辅助骶colpop固定术(Robot-assisted sacrocolpop固定术,RSC)可以帮助克服腹腔镜骶colpop固定术(sacrocolpop固定术,LSC)的困难,促进深度剥离和缝合。此外,RSC对POP患者是一种安全有效的选择。它具有解剖治愈率高、改善性功能、减少围手术期并发症、复发率低等优点。此外,对于老年患者来说,它也是一种安全的选择。与LSC相比,RSC具有陡峭的学习曲线和许多其他报道的优势;然而,没有足够的数据表明前者普遍优越,特别是在成本效益方面。因此,需要进一步的研究来支持机器人辅助手术在骨盆底重建中的广泛应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse among Peri- and Post-Menopausal Women.

Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse among Peri- and Post-Menopausal Women.

Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse among Peri- and Post-Menopausal Women.

For patients with apical compartment pelvic organ prolapse (POP), abdominal sacrocolpopexy has been considered superior to the vaginal approach in terms of less dyspareunia and decreased risk of recurrence. Robot-assisted sacrocolpopexy (RSC) can help overcome difficulties in laparoscopic sacrocolpopexy (LSC) by facilitating deep dissection and suturing. Moreover, RSC is a safe and efficacious option for patients with POP. It has several benefits, such as its high anatomical cure rate, improvement of sexual function, reduction of perioperative complications, and low recurrence rate. In addition, it can be a safe option for elderly patients. RSC has a steep learning curve and numerous other reported advantages compared with LSC; however, insufficient data conclude that the former is universally superior, especially in cost effectiveness. Thus, further studies are needed to support the widespread adoption of robot-assisted surgery for pelvic floor reconstruction.

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