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机器人辅助腹腔镜根治性前列腺切除术:4例报告

Robot-assisted laparoscopic radical prostatectomy: four cases.

作者信息

Lee Yong Seong, Han Woong Kyu, Oh Young Taik, Choi Young Deuk, Yang Seung Choul, Rha Koon Ho

机构信息

Department of Urology, Urologic Science Institute, Yonsei University College of Medicine, 134 Sinchon-Dong, Seodaemun-Gu, Seoul, Korea.

出版信息

Yonsei Med J. 2007 Apr 30;48(2):341-6. doi: 10.3349/ymj.2007.48.2.341.

DOI:10.3349/ymj.2007.48.2.341
PMID:17461539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2628109/
Abstract

The role of the da Vinci robot is being defined in minimally invasive urologic surgery. Robot-assisted laparoscopic radical prostatectomy (rLRP) has emerged as a feasible treatment option for patients with organ-confined prostate cancer. We performed the first four rLRPs on four prostate cancer patients in the Republic of Korea. This is a report of its techniques and outcomes. In all four cases, the surgery was successfully completed with a mean operative time of 392.5 minutes. The mean estimated blood loss was 312.5mL, and catheterization lasted 14 to 21 days. There were no major intraoperative or postoperative complications. The mean hospital stay was 11 days. The rLRP is a safe and feasible approach. It will become one of the standard options for the management of localized prostate cancer.

摘要

达芬奇机器人在微创泌尿外科手术中的作用正在得到明确。机器人辅助腹腔镜根治性前列腺切除术(rLRP)已成为器官局限性前列腺癌患者的一种可行治疗选择。我们在韩国为4例前列腺癌患者实施了首例4台rLRP手术。本文报告其手术技术及结果。4例手术均成功完成,平均手术时间为392.5分钟。平均估计失血量为312.5mL,导尿持续14至21天。无术中或术后重大并发症。平均住院时间为11天。rLRP是一种安全可行的方法。它将成为局限性前列腺癌治疗的标准选择之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/93b6564d6673/ymj-48-341-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/75ba002a78af/ymj-48-341-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/9914f7a82e56/ymj-48-341-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/70a44e555903/ymj-48-341-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/93b6564d6673/ymj-48-341-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/75ba002a78af/ymj-48-341-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/9914f7a82e56/ymj-48-341-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/70a44e555903/ymj-48-341-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fca/2628109/93b6564d6673/ymj-48-341-g004.jpg

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Robotic radical prostatectomy with preservation of the prostatic fascia: a feasibility study.保留前列腺筋膜的机器人根治性前列腺切除术:一项可行性研究。
Urology. 2005 Dec;66(6):1261-5. doi: 10.1016/j.urology.2005.06.107.
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Potency following robotic radical prostatectomy: a questionnaire based analysis of outcomes after conventional nerve sparing and prostatic fascia sparing techniques.机器人根治性前列腺切除术后的性功能:基于问卷调查对传统保留神经和保留前列腺筋膜技术术后结果的分析
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The technique of apical dissection of the prostate and urethrovesical anastomosis in robotic radical prostatectomy.
Robot-assisted radical prostatectomy has lower biochemical recurrence than laparoscopic radical prostatectomy: Systematic review and meta-analysis.
机器人辅助根治性前列腺切除术比腹腔镜根治性前列腺切除术具有更低的生化复发率:系统评价和荟萃分析。
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Influence of prostate weight, obesity and height on surgical outcomes of robot-assisted laparoscopic radical prostatectomy in Korean men.前列腺重量、肥胖及身高对韩国男性机器人辅助腹腔镜根治性前列腺切除术手术结果的影响。
J Robot Surg. 2008;1(4):287-90. doi: 10.1007/s11701-007-0057-3. Epub 2007 Dec 21.
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Korean J Urol. 2012 Nov;53(11):766-73. doi: 10.4111/kju.2012.53.11.766. Epub 2012 Nov 14.
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