Rose K, Khan S, Godbole H, Olsburgh J, Dasgupta P
Department of Urology, Guy's and St. Thomas' Hospitals and GKT School of Medicine, London, UK.
Int J Clin Pract. 2006 Jan;60(1):12-4. doi: 10.1111/j.1368-5031.2006.00703.x.
Robot-assisted renal surgery is usually performed transperitoneally due to more available space for excursion of the robotic arms. To our knowledge, we report the first experience with robotic retroperitoneoscopic nephroureterectomy using the Da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) and a hybrid port technique. Robotic retroperitoneal nephroureterectomy was performed on two male patients. One 37-year-old patient had a painful non-functioning hydronephrotic left kidney and megaureter; the other aged 76 had a muscle invasive lower left ureteric tumour. Both the procedures were successfully completed with the robot without conversion. Mean operative time was 182.5 min and estimated blood loss 75 ml. Histological examination confirmed the preoperative diagnoses; margins were clear in the patient with tumour. Postoperative recovery was uneventful. We report the technical feasibility of robotic retroperitoneoscopic nephroureterectomy. However, as with all new technology, the benefits need to be further evaluated and proven before this technique can be widely accepted.
由于机器人手臂有更多的活动空间，机器人辅助肾手术通常经腹腔进行。据我们所知，我们报道了首例使用达芬奇手术系统（直观外科公司，美国加利福尼亚州森尼韦尔市）和混合端口技术进行机器人后腹腔镜肾输尿管切除术的经验。对两名男性患者实施了机器人后腹腔镜肾输尿管切除术。一名37岁患者患有疼痛性无功能肾积水左肾和巨输尿管；另一名76岁患者患有肌层浸润性左输尿管下段肿瘤。两台手术均成功通过机器人完成，无需中转。平均手术时间为182.5分钟，估计失血量为75毫升。组织学检查证实了术前诊断；肿瘤患者的切缘清晰。术后恢复顺利。我们报道了机器人后腹腔镜肾输尿管切除术的技术可行性。然而，与所有新技术一样，在该技术被广泛接受之前，其益处需要进一步评估和验证。
