达芬奇机器人手术系统在肥胖或高龄合并子宫内膜癌患者治疗中的应用

子宫内膜癌是常见的女性生殖系统恶性肿瘤，肥胖和年龄是子宫内膜癌的危险因素。肥胖对患者的生理尤其是呼吸循环系统产生影响，腹壁较厚的脂肪层也给手术带来挑战。高龄患者的器官功能衰弱、代偿能力差、常常不可耐受创伤较大的手术。近年来，达芬奇机器人手术系统（Da Vinci surgical system，DVSS）在肥胖或高龄合并子宫内膜癌患者的微创治疗中得到广泛地应用，并获得良好的临床疗效。与传统腹腔镜相比，DVSS显示出较明显的优势。本文就DVSS在肥胖或高龄合并子宫内膜癌患者治疗中的应用进行综述。 

Application of da Vinci surgical system in the treatment of obese or older patients with endometrial cancer

Endometrial cancer is a common malignant tumor of the female reproductive system. Obesity and age are risk factors for endometrial cancer. Obesity affects the physiology of patients, especially the respiratory and circulatory systems. Moreover, a thick fatty layer in the abdominal wall can pose a challenge during surgery. Older patients with weakened organ functions and poor compensatory abilities often cannot tolerate very traumatic surgeries. In recent years, the da Vinci robotic surgical system (DVSS) has been widely used for the minimally invasive treatment of endometrial cancer in obese or older patients and has provided a good curative effect. Robot-assisted technology offers obvious advantages over traditional laparoscopy. This article reviews the application of the DVSS in the treatment of obese or older patients with endometrial cancer.