REPRODÜKTİF TIPTA ROBOTİK CERRAHİYE GENEL BAKIŞ

Year 2013, Volume: 76 Issue: 1, 19 - 15, 17.03.2013

Ercan Baştu , Cem Çelik , Faruk Buyru

Abstract

Jinekolojik cerrahide minimal invazif cerrahi, özellikle de laparoskopi kullanımı gün geçtikçe artmaktadır.
Ancak, bazı olgularda geleneksel laparoskopi yaklaşımı güç olabilir. Robotik cerrahi sisteminin geleneksel
laparoskopiye göre birçok avantajı mevcuttur ve reprodüktif jinekolojik ameliyatlarda kendine birçok kullanım
alanı bulmaktadır. Son yıllardaki araştırmalar, ameliyat sonrası ağrının daha az olması, hastanede daha az gün
kalınması, günlük hayata daha çok çabuk geri dönüş ve ameliyat sırasında daha az kan kaybı sebebiyle robotik
cerrahinin bazı olgularda tercih nedeni olmasının sebeplerini ortaya koymaktadır. Öte yandan, daha uzun
ameliyat süresi, robotik sistemi kullanacak cerrahların ve ameliyat ekibinin özel eğitim gereksinimi ve yüksek
maliyet bu sistemin halihazırdaki en önemli dezavantajlardır. Robotik cerrahi yaklaşımı, laparoskopi ve klasik
açık ameliyatla karşılaştıran kapsamlı prospektif çalışmalar başlamıştır. Bu çalışmaların uzun süreli takip
sonuçları, robotik cerrahinin hangi ameliyatlarda daha verimli ve avantajlı olduğunu net ortaya koymaya
yardımcı olacaktır. Bu derlemede amaç, özellikle reprodüktif tıp dalında yayınlanmış robotik cerrahi hakkındaki
güncel araştırmaları irdelemektir.

Keywords

robotik cerrahi, laparoskopi, laparotomi, miyomektomi, endometriyozis, tubal reanastomoz

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