引用本文:张春花，范晓东，关小明.妇科单孔腹腔镜手术的应用现状和未来的发展趋势[J].中国临床新医学,2020,13(8):747-751.
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妇科单孔腹腔镜手术的应用现状和未来的发展趋势
张春花，范晓东，关小明
223002　江苏，扬州大学附属淮安市妇幼保健院妇科（张春花）；300100　天津，天津市中心妇产科医院妇科（范晓东）；77030 Houston, Texas, Baylor College of Medicine（关小明）；510150　广东，广州医科大学附属第三医院妇科（关小明）
摘要:
［摘要］　单孔腹腔镜是近年的手术热点，也是妇科手术发展的必然趋势。单孔腹腔镜手术根据入路不同，分为经脐单孔腹腔镜手术和经阴道单孔腹腔镜手术，还可以根据操作方式的不同，分为常规单孔腹腔镜手术和机器人辅助单孔腹腔镜手术。目前单孔腹腔镜在妇科良性疾病手术中应用广泛，其微创的理念得到一致认可，在妇科恶性肿瘤手术中的应用仍处于探索讨论阶段。我国单孔腹腔镜手术起步稍晚，但在我国广大医务工作者的不懈努力和部分先行者的引领下也迅速发展起来，无论是单孔腹腔镜手术的数量、术式，还是质量和创新方面，都已处于世界的先进水平。该文就妇科单孔腹腔镜手术的应用现状和未来的发展趋势作一阐述。
关键词:  单孔腹腔镜手术  经脐单孔腹腔镜手术  经自然腔道内镜手术  机器人辅助单孔腹腔镜手术  人工智能
DOI：10.3969/j.issn.1674-3806.2020.08.01
分类号:R 713
基金项目:
Current status and trend of development of single-port laparoscopy in gynecology
ZHANG Chun-hua, FAN Xiao-dong, GUAN Xiao-ming
Department of Gynecology, Huai′an Maternity and Child Healthcare Hospital Affiliated to Yangzhou University, Jiangsu 223002, China
Abstract:
［Abstract］　Single-port laparoscopy has recently gained its popularity in gynecological surgery as well as an inevitable trend in its future development. According to different surgical approaches, single-port laparoscopy can be divided into laparoendoscopic single-site surgery(LESS) and transvaginal natural orifice transluminal endoscopic surgery(vNOTES), and can also be divided into conventional single-port laparoscopy and robotic-assisted laparoendoscopic single-site surgery(R-LESS) according to different operation modes. At present, single-port laparoscopic surgery is widely adapted in gynecological benign diseases, and its minimally invasive concept has been unanimously recognized. However, its application in the surgery for gynecological malignant tumors is still in the stage of exploration and discussion. Single-port laparoscopic surgery started a little later in China. However, with the unremitting efforts of the majority of medical workers and the guidance of some pioneers, single-port laparoscopic surgery has developed rapidly in China. No matter in terms of quantity, operation method, quality and innovation of single-port laparoscopic surgery, they are at the advanced level in the world. In this paper, the current status and trend of development of single-port laparoscopy in gynecology are elucidated.
Key words:  Single-port laparoscopy  Laparoendoscopic single-site surgery(LESS)  Natural orifice transluminal endoscopic surgery(NOTES)  Robotic-assisted laparoendoscopic single-site surgery(R-LESS)  Artificial intelligence(AI)