[1]马春飞 高旭 王海峰 盛夏 王辉清 鲁欣 王燕 李耀明 方梓宇 施振凯 施挺 孙颖浩.单术者前 30例机器人与前 30例普通腹腔镜前列腺癌根治术的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(01):5-9.[doi:10.3877/cma.j.issn.1674-3253.2015.01.002 ]
　Ma Chunfei,Gao Xu,Wang Haifeng,et al.Radical prostatectomy for prostate cancer: comparison of robotic-assisted versus laparoscopic surgeries[J].,2015,(01):5-9.[doi:10.3877/cma.j.issn.1674-3253.2015.01.002 ]
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单术者前 30例机器人与前 30例普通腹腔镜前列腺癌根治术的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年01期
页码:
5-9
栏目:
临床研究
出版日期:
2015-07-31

文章信息/Info

Title:
Radical prostatectomy for prostate cancer: comparison of robotic-assisted versus laparoscopic surgeries
作者:
马春飞 高旭 王海峰 盛夏 王辉清 鲁欣 王燕 李耀明 方梓宇 施振凯 施挺 孙颖浩
200433 上海，第二军医大学附属长海医院泌尿外科
Author(s):
Ma Chunfei;  Gao Xu;  Wang Haifeng;  Sheng Xia;  Wang Huiqing;  Lu Xin;  Wang Yan;  Yaoming Li;  Fang Ziyu;  Shi Zhenkai;  Shi Ting;  Sun Yinghao.
Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
关键词:
机器人; 腹腔镜; 前列腺肿瘤; 手术
DOI:
10.3877/cma.j.issn.1674-3253.2015.01.002
摘要:
目的通过对单术者前 30例机器人辅助的腹腔镜下前列腺癌根治术（ RALP）与前 30例普通腹腔镜前列腺癌根治术（ LP）的对比研究，探讨机器人外科手术系统辅助腹腔镜在根治性前列腺切除术中的优势和应用价值。方法收集 2011年 11月至 2013年 7月间，长海医院泌尿外科单术者前 30例 RALP（A组）与同期该术者前 30例 LP（B组）手术患者的基线资料、手术时间及术后恢复情况进行对比分析。其中 A组前 10例，中间 10例，后 10例分别为 A1亚组、A2亚组、A3亚组。B组前 10例，中间 10例，后 10例分别为 B1亚组、B2亚组、B3亚组。结果 A组与 B组患者基线资料之间无统计学差异，各亚组间基线资料未进行统计学差异比较。所有患者均经腹腔途径实施手术，60例手术均获成功，无一例中转开放，术中无直肠、膀胱等脏器副损伤，术后无严重并发症发生。RALP组（A组）患者术中失血量 100~900 ml，输血 1例，术后无尿瘘发生。LP组（ B组）术中失血量 200~ 1100 ml，输血 3例，术后发生尿瘘 2例。所有患者均于术后 2周拔除导尿管。RALP组中各亚组手术时间分别为： A1亚组 124~442 min（中位时间 280 min），A2亚组手术时间 118~189 min（中位时间 164 min），A3亚组手术时间 105~159 min（中位时间 128 min）； LP组中各亚组手术时间分别为： B1亚组 135~402 min（中位时间 276 min），B2亚组 125~240 min（中位时间 206 min），B3亚组 122~192 min（中位时间 145 min）。结论与传统腹腔镜下前列腺癌根治术相比，机器人辅助的腹腔镜手术视野更加清晰且具有 3D视觉，手术操作灵活方便，术者操作更为舒适，学习曲线更短。

参考文献/References:

[1] Schuessler WW, Schulam PG, Clayman RV, et al. Laparoscopic radical prostatectomy: initial short-term experience [J]. Urology, 1997, 50(6): 854-857.
[2] Wein AJ K, Louis R. MD N, Andrew C. (EDT)/Partin AW, M.D. (EDT)/ Peters CA, (EDT) Md. Campbell-Walsh Urology. 2012. 10th Edition,international Edition [M]. United States, Elsevier Science Health Science div, 2830-2831.
[3] Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy[J]. BJU Int, 2001, 87(4): 408-410.
[4] Ficarra V, Novara G, Artibani W, et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies[J]. Eur Urol, 2009, 55 (5): 1037-1063.
[5] Herrell SD, Smith JA. Robotic-assisted laparoscopic prostatectomy: what is the learning curve? [J]. Urology, 2005, 66 (5 Suppl): 105-107.
[6] Ahlering TE, Skarecky D, Lee D, et al. Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy[J]. J Urol, 2003, 170(5): 1738-1741.
[7] Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: the montsouris technique[J]. J Urol, 2000, 163(6): 1643-1649.
[8] Türk I, Deger S, Winkelmann B, et al. Radical prostatectomy in clinically localized prostate carcinoma. Pro laparoscopic approach [J]. Urologe A, 2002, 41(1): 48-54.
[9] Guillonneau B, Rozet F, Cathelineau X, et al. Perioperative complications of laparoscopic radical prostatectomy: the montsouris 3-year experience[J]. J Urol, 2002, 167(1): 51-56.
[10] Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures[J]. Cancer, 2007, 110(9): 1951-1958.
[11] Patel VR, Palmer KJ, Coughlin G, et al. Robot-assisted laparoscopic radical prostatectomy: perioperative outcomes of 1500 cases[J]. J Endourol, 2008, 22(10): 2299-2305.
[12] Berryhill RJ, Jhaveri J, Yadav R, et al. Robotic prostatectomy: a review of outcomes compared with laparoscopic and open approaches[J]. Urology, 2008, 72(1): 15-23.
[13] Eastham JA, Kattan MW, Riedel E, et al. Variations among individual surgeons in the rate of positive surgical margins in radical prostatectomy specimens [J]. J Urol, 2003, 170 (6 Pt 1): 2292-2295.
[14] Thiel DD, Winfield HN. Robotics in urology: past, present, and future[J]. J Endourol, 2008, 22(4): 825-830.
[15] Stolzenburg JU, Rabenalt R, DO M, et al. Endoscopic extraperitoneal radical prostatectomy: oncological and functional results after 700 procedures [J]. J Urol, 2005, 174 (4 Pt 1): 1271-1275.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81172076）
通讯作者：孙颖浩，Email： spirit532@163.com
更新日期/Last Update: 1900-01-01