[1]王东 吴慧敏 刘竞 李利军 田雪梅 包安竹 田黎丽 胡云霞 邱明星.机器人辅助腹腔镜前列腺癌根治术的初步应用[J].中华腔镜泌尿外科杂志(电子版),2015,(06):411-414.[doi:10.3877/cma.j.issn.1674-3253.2015.06.006 ]
 Wang Dong,Wu Huimin,Liu Jing Li Lijun,et al.Preliminary clinical application of robot assisted radical prostatectomy[J].,2015,(06):411-414.[doi:10.3877/cma.j.issn.1674-3253.2015.06.006 ]
点击复制

机器人辅助腹腔镜前列腺癌根治术的初步应用()
分享到:

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06期
页码:
411-414
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
Preliminary clinical application of robot assisted radical prostatectomy
作者:
王东 1吴慧敏 2刘竞 1李利军 1田雪梅 1包安竹 1田黎丽 1胡云霞 1邱明星 1
610072 成都,四川省医学科学院·四川省人民医院外科1;610041 成都,空军都江堰航空医学鉴训中心成都空军招飞体检队2
Author(s):
Wang Dong1 Wu Huimin2 Liu Jing1 Li Lijun1 Tian Xuemei1 Bao Anzu1 Tian Lili1 Hu Yunxia1 Qiu Mingxing1.
Department of Urology,,()Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China; 2Chengdu Air Force Cadet Medical Team of Air Force Dujiangyan Aviation Medical Authentication Training Center, Chengdu 610041, China
关键词:
机器人腹腔镜前列腺肿瘤根治术
DOI:
10.3877/cma.j.issn.1674-3253.2015.06.006
摘要:
目的探讨机器人辅助腹腔镜前列腺癌根治术( RARP)的初步应用。方法回顾分析 2014年 9月至 2015年 2月,经腹途径机器人(达芬奇外科手术系统)辅助腹腔镜前列腺癌根治术 51例患者的临床资料。结果 51例手术均获成功,无机械故障或出血等因素导致术式改变。完成手术时间 115~330 min,平均( 162±21)min;术中出血量 120~600 ml,平均( 174±32)ml,1例术后输血 400 ml;术后肠道通气嘱进食时间 2~3 d,平均( 2±1)d;术后住院日 5~11 d,平均( 7±2)d;术后拔除导尿管时间 7~21 d,平均( 10±3)d。结论 RARP利于术者掌控及把握,具有创伤小、出血少、清扫淋巴结彻底、术后恢复快等优势,是治疗前列腺癌安全、有效和可靠的方法。

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] Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy[J]. BJU Int, 2001, 87(4): 408-410.
[3] Wedmid A, Llukani E, Lee DI. Future perspectives in robotic surgery[J]. BJU Int, 2011, 108(6 Pt 2): 1028-1036.
[4] Ng AT, Tam PC. Current status of robot-assisted surgery[J]. Hong Kong Med J, 2014, 20(3): 241-250.
[5] Lowrance WT, Eastham JA, Savage C, et al. Contemporary open and robotic radical prostatectomy practice patterns among urologists in the United States [J]. J Urol, 2012, 187 (6): 2087-2092.
[6] Tanaka K, Shigemura K, Hinata N, et al. Histological evaluation of nerve sparing technique in robotic assisted radical prostatectomy[J]. Indian J Urol, 2014, 30(3): 268-272.
[7]孙立安 ,王国民 ,徐志兵 ,等.机器人辅助腹腔镜根治性前列腺切除术 130例[J].中华腔镜外科杂志:电子版, 2013, 6(5): 35-39.
[8] Akand M, Celik O, Avci E, et al. Open, laparoscopic and robot-assisted laparoscopic radical prostatectomy: comparative analysis of operative and pathologic outcomes for three techniques with a single surgeon's experience [J]. Eur Rev Med Pharmacol Sci, 2015, 19(4): 525-531.
[9] Haglind E, Carlsson S, Stranne J, et al. Urinary incontinence and erectile dysfunction after robotic versus open radical prostatectomy: a prospective, controlled, nonrandomised trial [J]. Eur Urol, 2015, 68(2): 216-625.
[10] Thiel DD, Winfield HN. Robotics in urology: past,present,and future[J]. J Endourol, 2008, 22(4): 825-830.
[11] Lee DH, Jung HB, Chung MS, et al. The change of prostate cancer treatment in Korea: 5 year analysis of a single institution [J]. Yonsei Med J, 2013, 54(1): 87-91.
[12] Koo KC, Tuliao P, Yoon YE, et al. Robot-assisted radical prostatectomy in the Korean population: a 5-year propensity-score matched comparative analysis versus open radical prostatectomy [J]. Int J Urol, 2014, 21(8): 781-785.
[13] Ou YC, Hung SW, Wang J, et al. Retro-apical transection of the urethra during robot-assisted laparoscopic radical prostatectomy in an Asian population[J]. BJU Int, 2012, 110(2 Pt 2): E57-E63.
[14] Tewari AK, Patel ND, Leung RA, et al. Visual cues as a surrogate for tactile feedback during robotic-assisted laparoscopic prostatectomy: posterolateral margin rates in 1340 consecutive patients[J]. BJU Int, 2010, 106(4): 528-536.
[15]王东 ,马志伟 ,李俊 ,等.腹腔镜前列腺癌根治术 42例报告 [J].腹腔镜外科杂志, 2012, 17(2): 112-115.

相似文献/References:

[1]高新,邱剑光,周祥福,等.保留控尿功能的腹腔镜前列腺癌根治术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):4.
 GAO Xin,QIU Jing-guang,ZHOU Xiang-fu,et al.Continence-Sparing Laparoscopic Radical Prostatectomy[J].,2007,(06):4.
[2]高新,司徒杰,黄文涛,等.腹腔镜阴道前后壁补片治疗女性盆腔脏器脱垂的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2007,(01):8.
 GAO Xin,SITU Jie,HUANG Wen-tao,et al.Comparison of laparoscopy sacrocolpopexy with anterior vaginal suspension for the treatment of vaginal vault prolapse[J].,2007,(06):8.
[3]黄健,韩金利,许可慰,等.三套管法后腹腔镜下肾部分切除术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):11.
 HUANG Jian,HAN Jin-li,XU Ke-wei,et al.Retroperitoneal laparoscopic partial nephrectomy through three ports[J].,2007,(06):11.
[4]陈凌武,王声政,陈炜,等.手辅式腹腔镜在复杂的根治性膀胱切除中的应用[J].中华腔镜泌尿外科杂志(电子版),2007,(01):15.
 CHEN Ling-wu,WANG Sheng-zheng,CHEN Wei,et al.Effect of the hand assisted laparoscopic radical cystectomy in technically challenging cases[J].,2007,(06):15.
[5]刘春晓,郑少波,徐亚文,等.腹腔镜下根治性全膀胱切除术100例总结[J].中华腔镜泌尿外科杂志(电子版),2007,(01):19.
 LIU Chun-xiao,ZHENG Shao-bo,XU Ya-wen,et al.Laparoscopic radical cystectomy (report of 100 cases)[J].,2007,(06):19.
[6]周建华,高新,蔡育彬,等.腹腔镜前列腺癌根治术126例3年随访结果[J].中华腔镜泌尿外科杂志(电子版),2007,(01):22.
 ZHOU Jian-hua,GAO Xin,CAI Yu-bin,et al.Results of study of 126 cases underwent laparoscopic radical Prostatectomy during three years' follow-up[J].,2007,(06):22.
[7]莫曾南,杨占斌,白先忠.腹腔镜诊治未触及隐睾21例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):27.
 MO Zeng-nan,YANG Zhan-bin,BIA Xian-zhong.Laparoscopic diagnosis and treatment of nonpalpable testis (21 cases report)[J].,2007,(06):27.
[8]刘吉元,林瑜,刘扬,等.经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿[J].中华腔镜泌尿外科杂志(电子版),2007,(01):33.
 LIU Ji-yuan,LIN Yu,LIU Yang,et al.Retroperitonescopic ligation of renal lymphatic vessels for the treatment of chyluria[J].,2007,(06):33.
[9]陈光,朱光炜,罗建仕,等.腹腔镜腹膜后淋巴结切除术在睾丸恶性肿瘤治疗中的应用价值[J].中华腔镜泌尿外科杂志(电子版),2007,(01):36.
 CHEN Guang,ZHU Guang-Wei,LOU Jian-shi,et al.laparoscopic retropenitoneal lymph node dissection in the treatment of testicular tumor[J].,2007,(06):36.
[10]唐松林,周祥福,温机灵.应用CT探讨平卧位经皮肾穿刺结肠的损伤几率[J].中华腔镜泌尿外科杂志(电子版),2007,(01):51.
 TANG Song-lin,ZHOU Xiang-fu,WEN Ji-ling.The risk of colon injury of percutaneous nephrostomy in supine position as shown by computed tomography[J].,2007,(06):51.
[11]肖克峰,刘大乐,陈彤,等.ZEUS机器人腹腔镜与常规腹腔镜肾上腺肿瘤切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2009,(04):339.
 XIAO Ke-feng,YANG Jiang-gen,CHEN Tong,et al.A comparison of ZEUS robotic-assisted laparoscopic and conventional laparoscopic adrenalectomy[J].,2009,(06):339.
[12]费夏玮,李笑弓,郭宏骞.腹腔镜和机器人腹腔镜根治性前列腺切除术的疗效比较的Meta分析[J].中华腔镜泌尿外科杂志(电子版),2013,(02):92.
 FEI Xia-wei,LI Xiao-gong,GUO Hong-Qian.Laparoscopic versus robotic-assisted laparoscopic radical prostatectomy: A meta-analysis[J].,2013,(06):92.
[13]高旭 王海峰 杨波 马春飞 王辉清 鲁欣 王燕 李耀明方梓宇 施振凯 施挺 侯建国 许传亮 盛夏 孙颖浩.机器人腹腔镜下前列腺癌根治术中保留性神经的技术改进及短期随访[J].中华腔镜泌尿外科杂志(电子版),2015,(04):239.[doi:10.3877/cma.j.issn.1674-3253.2015.04.001 ]
 Gao Xu,Wang Haifeng,Yang Bo,et al.The improvement of techniques in nerve-sparing robotic radical prostatectomy and the short-term follow-up[J].,2015,(06):239.[doi:10.3877/cma.j.issn.1674-3253.2015.04.001 ]
[14]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.[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,(06):5.[doi:10.3877/cma.j.issn.1674-3253.2015.01.002 ]
[15]李智斌,张更,阮东丽,等.单中心机器人辅助腹腔镜与腹腔镜肾部分切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):81.[doi:10.3877/cma.j.issn.1674-3253.2017.02.003 ]
 Li Zhibin,Zhang Geng,Ruan Dongli,et al.Comparative study of single center between robotic assisted laparoscopic partial nephrectomy and laparoscopic partial nephrectomy[J].,2017,11(06):81.[doi:10.3877/cma.j.issn.1674-3253.2017.02.003 ]
[16]何威,谢欣,戴军,等.达芬奇机器人辅助腹膜后腹腔镜肾上腺切除术[J].中华腔镜泌尿外科杂志(电子版),2018,12(02):76.[doi:10.3877/cma.j.issn.1674-3253.2018.02.002 ]
 He Wei,Xie Xin,Dai Jun,et al.Da Vinci robot assisted retroperitoneal laparoscopic adrenalectomy[J].,2018,12(06):76.[doi:10.3877/cma.j.issn.1674-3253.2018.02.002 ]
[17]邓绍晖,张树栋.机器人辅助腹腔镜治疗腹膜后神经鞘瘤[J].中华腔镜泌尿外科杂志(电子版),2023,17(04):427.[doi:10.3877/cma.j.issn.1674-3253.2023.04.027]
 [J].,2023,17(06):427.[doi:10.3877/cma.j.issn.1674-3253.2023.04.027]

备注/Memo

备注/Memo:
基金项目:四川省卫生计生委科研基金(130188)
通讯作者:王东,Email:wangdongdoctor@yeah.net
更新日期/Last Update: 1900-01-01