Actualités sur l’assistance robotisée en chirurgie oncogynécologique
Tóm tắt
Depuis 20 ans, la coelioscopie est devenue une voie d’abord chirurgicale incontournable, particulièrement en gynécologie. Introduite depuis une dizaine d’années, l’assistance robotisée est de plus en plus utilisée, la chirurgie gynécologique oncologique constituant un éventail d’indications privilégié. Pour le chirurgien, ses avantages sont la restitution d’une vision en trois dimensions, l’absence de tout tremblement et donc une précision du geste plus grande (les instruments sont voués de sept degrés de libertéet permettant des mouvements à 360°), et enfin un apprentissage plus rapide que la coelioscopie conventionnelle. Pour nos patientes, les publications actuelles semblent en faveur d’une diminution de la morbidité (réduction des hémorragies peropératoires, diminution des douleurs postopératoires, durée d’hospitalisation plus courte). Dans cette revue de la littérature, nous faisons un état des lieux des résultats de l’assistance robotisée appliquée à la prise en charge des cancers pelviens.
Tài liệu tham khảo
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