Krambeck Amy E, Gettman Matthew T
Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, Minnesota 55905, USA.
Arch Esp Urol. 2007 May;60(4):462-70. doi: 10.4321/s0004-06142007000400016.
By addressing the performance limitations of standard laparoscopy, robotics has developed a role in urology. While greatest use has been in pelvic prostatectomy, the role of robotics is expanding to other retroperitoneal surgeries. We review the feasibility of robotic radical and partial nephrectomy
Medline literature search of robotic nephrectomy and partial nephrectomy was performed. Data was compiled for the review as well as personal experience.
Multiple studies have demonstrated the feasibility and safety of robotic assisted laparoscopic nephrectomy and partial nephrectomy. Operative time is increased with the robotic system compared to pure laparoscopic surgery. Although complication rates are low, robotic renal surgery requires two skilled surgeons.
While the use of robotics in renal surgery may enhance suturing abilities, currently, this system requires two skilled surgeons and significant operative time. The exact role of robotics in extirpative renal surgery remains unclear and may require technical and surgical advancements before robotic renal surgery is widely accepted.
通过解决标准腹腔镜检查的性能限制，机器人技术在泌尿外科领域发挥了作用。虽然机器人技术在盆腔前列腺切除术中应用最为广泛，但它在其他腹膜后手术中的作用也在不断扩大。我们回顾了机器人根治性肾切除术和部分肾切除术的可行性。
对机器人肾切除术和部分肾切除术进行了Medline文献检索。为本次综述收集了相关数据以及个人经验。
多项研究已证明机器人辅助腹腔镜肾切除术和部分肾切除术的可行性和安全性。与单纯腹腔镜手术相比，使用机器人系统会增加手术时间。虽然并发症发生率较低，但机器人肾脏手术需要两名技术熟练的外科医生。
虽然机器人技术在肾脏手术中的应用可能会提高缝合能力，但目前，该系统需要两名技术熟练的外科医生且手术时间较长。机器人技术在根治性肾脏手术中的确切作用仍不明确，在机器人肾脏手术被广泛接受之前，可能需要技术和手术方面的进步。
