Robot empowering transvaginal endoscopic surgery-the future of minimally invasive gynecological surgery
HOU Qian-nan
HE Li
Abstract：Transvaginal natural orifice transluminal endoscopic surgery(vNOTES),as an innovative minimally invasive technique in gynecology,enables scarless operations through endogenous pathways.However,its clinical application is limited by the mechanical coupling effect and the lack of a triangle of support in traditional single-port instruments.The robotic surgical system,with its multi-degree-of-freedom wristed instruments,three-dimensional high-definition imaging,and motion scaling technology,effectively addresses the vision-operation axis collinearity challenge of vNOTES and overcomes the spatial constraints within narrow cavities.Based on evidence-based medical evidence,this article systematically analyzes the key technical advantages of different robotic surgical platforms in various gynecological procedures.With the iterative improvement in miniaturized intracavitary robots and cross-modal surgical navigation systems,robotic vNOTES is driving gynecological surgery towards ultra-minimally invasive and intelligent directions,providing innovative solutions to high-risk procedures such as radical resection of malignant tumors.
Keywords：robot surgical platform systemtransvaginal natural orifice transluminal endoscopic surgeryergonomicsmicro-and non-invasive surgery
Publication Date：2025-07-02
Online Publishing Date：2025-08-19(First online date of this platform, not the publication date of the document)
Pages：5( 706-710 )