Madeb Ralph, Knopf Joy K, Nicholson Craig, Donahue Laurence A, Adcock Brian, Dever David, Tan Beng Jit, Valvo John R, Eichel Louis
Department of Urology, Rochester General Hospital, Rochester, New York, USA.
BJU Int. 2006 Oct;98(4):838-42. doi: 10.1111/j.1464-410X.2006.06430.x.
To report the management of urachal anomalies using a robotically assisted approach.
Between January 2005 and February 2006, five patients (mean age 51 years, range 24-68) were diagnosed with urachal anomalies. Two basic robot-assisted surgical approaches were used for excising the urachal anomalies: excision of the urachal remnant via partial cystectomy, and radical cystectomy for excision of urachal adenocarcinoma.
All five cases were successful and the excised specimens were assessed histologically. The short-term oncological outcome in the three patients with histologically confirmed moderately differentiated adenocarcinoma showed no evidence of recurrent disease within a median interval of 8 months. Surveillance follow-up cystoscopy in the patients who had a partial cystectomy showed a well-healed bladder mucosa with no evidence of recurrence.
Radical excision of the urachal tract with partial cystectomy or radical cystectomy using the da Vinci robot is safe, effective and technically feasible.
报告采用机器人辅助方法处理脐尿管异常的情况。
2005年1月至2006年2月期间，5例患者（平均年龄51岁，范围24 - 68岁）被诊断为脐尿管异常。采用两种基本的机器人辅助手术方法切除脐尿管异常：通过部分膀胱切除术切除脐尿管残余物，以及采用根治性膀胱切除术切除脐尿管腺癌。
所有5例手术均成功，切除标本进行了组织学评估。3例经组织学证实为中分化腺癌患者的短期肿瘤学结果显示，在中位间隔8个月内无疾病复发迹象。接受部分膀胱切除术患者的监测性随访膀胱镜检查显示膀胱黏膜愈合良好，无复发迹象。
使用达芬奇机器人通过部分膀胱切除术或根治性膀胱切除术对脐尿管进行根治性切除是安全、有效的，且在技术上可行。
