akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2020.180akusherstvo-877Research ArticleREVIEW ARTICLEНАУЧНЫЙ ОБЗОРOpportunities for robotic-assisted surgery in treatment of uterine cancer. Current view on the problemВозможности робот-ассистированной хирургии в лечении рака тела матки. Современный взгляд на проблемуhttps://orcid.org/0000-0001-7441-2778СлуханчукЕ. В.SlukhanchukE. V.

Слуханчук Екатерина Викторовна – к.м.н., зав. отделением гинекологии

SPIN: 7423-8944

119991 Москва, Абрикосовский пер., д. 2

Ekaterina V. Slukhanchuk – MD, PhD, Head of Department of Gynecology

2 Abrikosovskiy Lane, Moscow 119991

beloborodova@rambler.ruhttps://orcid.org/0000-0003-1659-4256ТянА. Г.TyanA. G.

Тян Анатолий Геннадьевич – к.м.н., главный врач

SPIN: 6960-9405

119991 Москва, Абрикосовский пер., д. 2

Anatoliy G. Tyan – MD, PhD, Chief Physician

2 Abrikosovskiy Lane, Moscow 119991

ГБНУ «Российский научный центр хирургии имени академика Б.В. Петровского»РоссияPetrovsky National Research Centre of SurgeryRussian Federation202009012021146666674Copyright © Slukhanchuk E.V., Tyan A.G., 20212021Слуханчук Е.В., Тян А.Г.Slukhanchuk E.V., Tyan A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/877

Endometrial cancer holdzone of the lead positions in the pattern of female oncological diseases, affecting annually around 300,000 women worldwide. Compared to other cancers of the female reproductive system, this pathology has been extensively investigated by conducting large-scale randomized controlled trials, which proved safety and efficacy of using laparoscopic surgery for such patients. In the last years, robotic-assisted surgery has been actively developed globally, including gynecological oncology. Minimally invasive technologies can reduce the volume of blood loss, shorten hospital stay, lower rate of postoperative complications and shorten rehabilitation period. It is necessary to conduct randomized prospective studies assessing robotic-assisted surgery for treating endometrial cancer, especially due to concerns about postoperative prognosis in cancer patients. In addition, studies on developing clinical guidelines to select proper surgical intervention, including robotic-assisted access for surgeons-oncologists are required.

Рак эндометрия занимает одно из ведущих мест в структуре онкологических заболеваний у женщин, ежегодно поражая около 300 тыс. женщин во всем мире. В отличие от других онкологических заболеваний женской репродуктивной системы, в этой области были проведены крупные рандомизированные контролируемые исследования, которые доказали безопасность и эффективность лапароскопического метода хирургического лечения. В последние годы в мире активно развивается робот-ассистированная хирургия, в том числе и в онкогинекологии. Малоинвазивные технологии позволяют уменьшить объем кровопотери, сократить время пребывания в стационаре, снизить частоту послеоперационных осложнений и сократить период реабилитации. Существует необходимость в проведении рандомизированных проспективных исследований в области робот-ассистированной хирургии рака эндометрия, особенно с учетом опасений по поводу послеоперационного прогноза у онкологических больных. Также необходимы исследования для разработки клинических руководств по выбору хирургического вмешательства, включая роботизированный доступ для хирургов-онкологов.

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The authors declare that there are no conflicts of interest present.