机器人辅助单孔腹腔镜手术在妇科的应用：技术范式革新与临床进展

Applying Robot-Assisted Single-Port Laparoscopic Surgery in Gynecology: Technological Paradigm Innovations and Clinical Advances

摘要

随着机器人辅助单孔腹腔镜手术在妇科的应用不断发展，其适应证已从良性疾病逐步深入到恶性肿瘤，呈现出机器人技术与单孔微创融合发展的态势。本文主要探讨da Vinci Xi及国产单孔机器人等系统在各类复杂术式中的临床实践，构建起优化器械布局、克服操作壁垒的技术路径。技术上，借助3D高清视野、灵活腕转及除颤优势，结合创新性手术范式，有效解决了单孔器械干扰难题，实现精准切除、快速康复及无痕美观。尽管目前专用单孔系统仍面临技术挑战且长期预后数据待积累，但未来融合人工智能及远程技术，将进一步验证其疗效，推动该技术在妇科临床的规范化应用。

Abstract

With the continuous development of robot-assisted single-port laparoscopic surgery in gynecology, its indications have gradually expanded from benign gynecologic diseases to malignant tumors, reflecting an emerging trend toward the integration of robotic technology and single-port minimally invasive surgery. This review primarily discusses the clinical application of robotic systems such as the da Vinci Xi platform and domestically developed single-port robotic systems in various complex surgical procedures, as well as the development of technical strategies for optimizing instrument layout and overcoming operative limitations. From a technical perspective, the use of 3-dimensional high-definition visualization, flexible wristed instrumentation, and tremor filtration, combined with innovative surgical paradigms, has effectively addressed the problem of instrument interference in single-port surgery, thereby enabling precise resection, rapid postoperative recovery, and superior cosmetic outcomes with minimal visible scarring. Although dedicated single-port systems still face technical challenges and long-term outcome data remain limited, the future integration of artificial intelligence and remote technologies will further validate their clinical efficacy and promote the standardized application of this approach in gynecological clinical practice.

关键词

机器人辅助手术系统 / 单孔腹腔镜手术 / 妇科手术 / 综述

Key words

Robot-assisted surgical system / Single-port laparoscopic surgery / Gynecological surgery / Review

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