The Value and Dispute of Uterine Manipulator in Gynecological Tumor Minimally Invasive Surgery

doi:10.12280/gjfckx.20200844

Abstract

Abstract:

With the widespread application of minimally invasive surgery in gynecological tumors, the use of uterine manipulator has become more and more important. However, with the reports on the adverse effects of minimally invasive surgery on patients with gynecological tumors, the importance of the use of uterine manipulator is also be questioned. It is questioned whether the use of uterine manipulator during surgery will increase the spread of tumor cells and affect the prognosis of patients. Improvements to traditional uterine manipulator have been continuously proposed to reduce the damage to tumor tissues during minimally invasive gynecological tumor surgery, to ensure the exposure of the surgical field and sufficient scope of operation, and to increase the application range of uterine manipulator. In recent years, the safety and effectiveness of new uterine lifting methods such as uterine suspension have been continuously confirmed, and they have become an important surgical method to replace traditional uterine manipulator to assist in minimally invasive gynecological tumor surgery. The comparison and continuous improvement of uterine lifting methods will provide new surgical ideas for minimally invasive gynecological tumor surgery and help patients recover quickly after surgery.

Key words: Genital neoplasms,female, Laparoscopy, Minimally invasive surgery, Uterine manipulator, Safety, Improvement

SUN Yu-shu, YI Xiao-fang. The Value and Dispute of Uterine Manipulator in Gynecological Tumor Minimally Invasive Surgery[J]. Journal of International Obstetrics and Gynecology, 2021, 48(3): 347-350.

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