机器人辅助腹腔镜根治性膀胱前列腺切除术及完全体内回肠新膀胱术
Robot-assisted laparoscopic radical cystoprostatectomy and totally intracorporeal ileal neobladder.
作者信息
Sala Leandro G, Matsunaga Garrett S, Corica Federico A, Ornstein David K
机构信息
Department of Urology, UCI Medical Center, University of California, Irvine, Orange 92868, USA.
出版信息
J Endourol. 2006 Apr;20(4):233-5; discussion 236. doi: 10.1089/end.2006.20.233.
PURPOSE
To describe robot-assisted laparoscopic radical cystoprostatectomy and intracorporeal orthotopic ileal neobladder construction.
METHODS
With the use of the daVinci Surgical System (Intuitive Surgical, Sunnyvale, CA), we performed laparoscopic radical cystectomy and intracorporeal construction of an orthotopic ileal neobladder (modified W pouch).
RESULTS
The total operative time was 12 hours, and the estimated blood loss was 100 mL. There were no intraoperative or postoperative complications, and the patient?s hospital stay was 5 days. At early follow-up, oncologic and functional results are good.
CONCLUSION
Robot-assisted laparoscopic radical cystoprostatectomy with intracorporeal ileal neobladder construction is technically feasible. However, its role in the management of invasive bladder cancer remains to be defined.
目的
描述机器人辅助腹腔镜根治性膀胱前列腺切除术及体内原位回肠新膀胱构建。
方法
使用达芬奇手术系统（直观外科公司，加利福尼亚州森尼韦尔市），我们进行了腹腔镜根治性膀胱切除术及体内原位回肠新膀胱（改良W袋）构建。
结果
总手术时间为12小时，估计失血量为100毫升。无术中或术后并发症，患者住院时间为5天。早期随访时，肿瘤学和功能结果良好。
结论
机器人辅助腹腔镜根治性膀胱前列腺切除术及体内回肠新膀胱构建在技术上是可行的。然而，其在浸润性膀胱癌治疗中的作用仍有待确定。
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