经阴道自然腔道内镜手术（vNOTES）作为妇科微创领域的革新术式，通过内源性通路实现无瘢痕化操作，但其临床推广受限于传统单孔器械的力学耦合效应及三角缺失问题。机器人手术系统通过多自由度腕式器械、三维高清成像及运动缩放技术，有效解决了vNOTES的视觉-操作轴共线性挑战，突破了狭窄腔道内的空间约束。文章基于循证医学证据，系统分析不同机器人手术平台系统在妇科各类术式中的关键技术优势。随着微型腔内机器人及跨模态手术导航系统的迭代，机器人vNOTES正推动妇科手术向超微创、智能化方向演进，为恶性肿瘤根治等高风险术式提供创新解决方案。

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.