Abstract: Natural orifice transluminal endoscopic surgery（NOTES）is a new revolutionary surgical technique developed in the field of minimally invasive surgery.It uses endoscope to enter the chest，abdominal cavity，and so on for a variety of endoscopic operations through the natural cavity of the human body（such as mouth，stomach，vagina，bladder，rectum，etc.）.Conventional NOTES is two-dimensional visualization，and the application of robotic system to NOTES can achieve three-dimensional visualization.Currently，robot-assisted NOTES in gynecologic surgeries mainly include R-LESS（Robot-assisted Laparoendoscopic Single-site Surgery）and robot-assisted vNOTES（transvaginal NOTES）.The application of robot-assisted laparoscopy in gynecological natural orifice transluminal endoscopic surgery is reviewed and discussed in this paper.

Key words: Da Vinci robotic surgical system, NOTES, gynecologic surgery

摘要： 经自然腔道内镜手术（NOTES）是从微创外科发展起来的一种新的革命性外科技术，它利用内镜经人体的自然腔道（如口腔、胃、阴道、膀胱、结直肠等）进入胸、腹腔等进行各种内镜下的操作。传统的NOTES为二维成像，将机器人系统应用于NOTES可实现三维成像。目前开展的机器人NOTES妇科手术主要包括机器人辅助经脐单孔腹腔镜手术及机器人辅助经阴道自然腔道内镜手术。文章就目前机器人辅助腹腔镜在妇科NOTES中的应用进行阐述及讨论。

关键词: 达芬奇机器人手术系统, 经自然腔道内镜手术, 妇科手术