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从开放手术转为机器人前列腺切除术:关键概念。

Converting from open to robotic prostatectomy: key concepts.

机构信息

Division of Urologic Oncology, Department of Urology, University of Michigan, Ann Arbor, MI 48109, USA.

出版信息

Urol Oncol. 2010 Jan-Feb;28(1):77-80. doi: 10.1016/j.urolonc.2009.06.009.

DOI:10.1016/j.urolonc.2009.06.009
PMID:20123353
Abstract

Robotic-assisted laparoscopic prostatectomy (RALP) is rapidly becoming the surgical procedure of choice for treating localized prostate cancer. Although a learning curve does exist, RALP can readily be adopted by surgeons with minimal training in laparoscopy. Monitoring short- and long-term patient outcomes is the key to the individual surgeon improving this procedure for his/her patients. Although both open radical prostatectomy (ORP) and RALP can provide excellent patient outcomes, recent trends indicate that demand for RALP will continue to increase, and it is in the interest of the open surgeon to adopt this technique and aim to continuously improve patient outcomes after RALP.

摘要

机器人辅助腹腔镜前列腺切除术(RALP)迅速成为治疗局限性前列腺癌的首选手术方法。虽然确实存在学习曲线,但经过微创手术培训的外科医生可以轻松采用 RALP。监测短期和长期患者预后是每位外科医生为其患者改进该手术的关键。尽管开放性根治性前列腺切除术(ORP)和 RALP 都可以提供出色的患者预后,但最近的趋势表明,RALP 的需求将继续增加,因此,开放手术医生有兴趣采用这种技术,并致力于不断提高 RALP 后的患者预后。

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1
Converting from open to robotic prostatectomy: key concepts.从开放手术转为机器人前列腺切除术:关键概念。
Urol Oncol. 2010 Jan-Feb;28(1):77-80. doi: 10.1016/j.urolonc.2009.06.009.
2
Robotic-assisted laparoscopic prostatectomy: what is the learning curve?机器人辅助腹腔镜前列腺切除术:学习曲线是怎样的?
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The addition of robotic surgery to an established laparoscopic radical prostatectomy program: effect on positive surgical margins.在已有的腹腔镜根治性前列腺切除术项目中增加机器人手术:对手术切缘阳性的影响。
Can J Urol. 2008 Apr;15(2):3994-9.
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Should experienced open prostatic surgeons convert to robotic surgery? The real learning curve for one surgeon over 3 years.经验丰富的开放前列腺外科医生是否应该转为机器人手术?一位外科医生在 3 年内的真实学习曲线。
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Robotic-assisted laparoscopic prostatectomy: do minimally invasive approaches offer significant advantages?机器人辅助腹腔镜前列腺切除术:微创方法是否具有显著优势?
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Radical prostatectomy: a comparison of open, laparoscopic and robot-assisted laparoscopic techniques.根治性前列腺切除术:开放手术、腹腔镜手术及机器人辅助腹腔镜手术的比较
Can J Urol. 2006 Feb;13 Suppl 1:56-61.
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Prospective evaluation of short-term impact and recovery of health related quality of life in men undergoing robotic assisted laparoscopic radical prostatectomy versus open radical prostatectomy.机器人辅助腹腔镜根治性前列腺切除术与开放性根治性前列腺切除术对男性健康相关生活质量的短期影响及恢复的前瞻性评估。
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Cost comparison of robotic, laparoscopic, and open radical prostatectomy for prostate cancer.机器人辅助、腹腔镜和开放性根治性前列腺切除术治疗前列腺癌的成本比较。
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Open, laparoscopic and robotic radical prostatectomy: optimizing the surgical approach.开放手术、腹腔镜手术及机器人辅助根治性前列腺切除术:优化手术方式
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Role of robotics for prostate cancer.机器人技术在前列腺癌治疗中的作用。
Curr Opin Urol. 2009 Jan;19(1):65-8. doi: 10.1097/MOU.0b013e32831aedcf.

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Integrity and amplification of nucleic acids from snap-frozen prostate tissues from robotic-assisted laparoscopic and open prostatectomies.从机器人辅助腹腔镜前列腺切除术和开放性前列腺切除术的冷冻前列腺组织中提取核酸的完整性和扩增。
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Laparoscopic surgery is a current tide of widely accepted standard procedure for endometrial cancer.
腹腔镜手术是目前广泛接受的子宫内膜癌标准手术方式。
J Gynecol Oncol. 2010 Jun;21(2):67-9. doi: 10.3802/jgo.2010.21.2.67. Epub 2010 Jun 30.