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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Laparoscopy-assisted robotic myomectomy using the da Vinci system.
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Laparoscopy-assisted robotic myomectomy using the da Vinci system.

机译：使用da Vinci系统的腹腔镜辅助机器人子宫肌瘤切除术。

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OBJECTIVE: To report a case of a woman with a large uterine myoma who underwent laparoscopy-assisted robotic myomectomy using the da Vinci system. CASE REPORT: A 38-year-old, gravida 2, para 2, female patient presented to our office with a chief complaint of lower abdominal pressure and pain. A pelvic sonogram disclosed a subserosal myoma with a broad base, measuring approximately 9 x 8 x 7 cm, which was located at the anterior uterine wall. The patient insisted on preserving her uterus and was concerned with the cosmetic results after the surgery. She showed willingness to undergo myomectomy using the newly developed laparoscopy-assisted robotic system (da Vinci) and signed the consent form. The operation time was about 3 hours, with an estimated blood loss of 150 mL. The patient passed flatus and resumed oral intake on the following day. CONCLUSION: Minimally invasive surgery is the trend of the future. Robot-assisted laparoscopic surgery is a new technique for myomectomy. This robotic system provides a three-dimensional operative field and an easy-to-use control panel, which may be of great help when applying the suturing techniques and may shorten the learning curve. More experience with and long-term follow-up of robotic surgery may be warranted to further validate the role the robot-assisted approach in gynecologic surgery.
机译：目的：报道一例患有大子宫肌瘤的妇女，该妇女使用达芬奇系统进行了腹腔镜辅助的机器人子宫肌瘤切除术。病例报告：一名38岁的孕妇gravida 2，第2段，一名女性患者因主诉下腹部压力和疼痛而出现在我们的办公室。盆腔超声检查发现浆膜下肌瘤基底部宽，约9 x 8 x 7 cm，位于子宫前壁。病人坚持要保留子宫，并担心手术后的美容效果。她表示愿意使用新开发的腹腔镜辅助机器人系统（da Vinci）进行子宫肌瘤切除术，并签署了同意书。手术时间约为3小时，估计失血量为150毫升。患者肠胃气胀，第二天恢复口服。结论：微创手术是未来的趋势。机器人辅助的腹腔镜手术是子宫肌瘤切除术的一种新技术。该机器人系统提供了三维操作区域和易于使用的控制面板，这在应用缝合技术时可能会有很大帮助，并可能缩短学习曲线。可能需要更多的机器人手术经验并进行长期随访，以进一步验证机器人辅助方法在妇科手术中的作用。

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