摘要
外阴癌的主要手术方式包括根治性外阴切除术/广泛局部切除+腹股沟淋巴结切除术。开放手术创伤大,术后并发症发生率高。机器人辅助腹腔镜下腹股沟淋巴切除术安全有效,且具有操作便捷、术后并发症发生率低、住院时间短等优势,但机器人辅助手术对术者要求高,需要妇科医生既掌握机器人手术专业知识,又具备腹股沟淋巴结清扫术技能,这样才能保证疗效,提高患者生存率。
Radical episiotomy/extensive local excision and inguinal lymphadenectomy are the main surgical methods for vulvar cancer.Patients undergoing open surgery may have severe trauma and serious postoperative complications.Robot-assisted laparoscopic inguinal lymphadenectomy is safe and effective,has advantages such as convenient operation,low incidence of postoperative complications,and short length of hospital stay.However,it has high requirements on surgeons,and gynecologists with professional knowledge of robotic surgery who are familiar with inguinal lymph node dissection are required to perform such surgery to ensure curative effect and improve patient survival.
基金
国家自然科学基金(82002740)
陕西省自然科学基金(重点项目)(2024JC-ZDXM-52)
西安市人民医院科研孵化基金(2023-LH-16)。