Zugor V, Labanaris A, Abdulhak A, Eck A, Wagner C, Porres D, Witt J
Abteilung für Urologie und Kinderurologie, St. Antonius-Hospital Gronau, Möllenweg 22, 48599, Gronau, Deutschland.
Urologe A. 2011 Oct;50(10):1297-300. doi: 10.1007/s00120-011-2624-5.
The increasing experience obtained through laparoscopy has resulted in the evolution of ablative and reconstructive procedures in the field of paediatric urology. Apart from the established methods of laparoscopic nephrectomy and orchidopexy, nowadays laparoscopic hemi-nephrectomy and pyeloplasty have become standard therapeutic surgical alternatives. Nevertheless, many of these procedures require a high level of experience in laparoscopic preparation and stitching techniques and are thus performed in institutions with greater laparoscopic experience. With the introduction and evolution of the robotic-assisted technique and the availability of smaller instruments and ports (8 and 5 mm), there has been an evolution in the spectrum of complex ablative and reconstructive procedures in the field of paediatric urology as well. Nevertheless, there is a lack of randomised trails and the literature available in this area consists manly of case reports. The purpose of this article is to present the current status and perspectives of robotic-assisted surgery in the field of paediatric urology.
通过腹腔镜手术积累的经验日益丰富,推动了小儿泌尿外科领域消融和重建手术的发展。除了已有的腹腔镜肾切除术和睾丸固定术方法外,如今腹腔镜半肾切除术和肾盂成形术已成为标准的治疗性手术选择。然而,许多此类手术需要高水平的腹腔镜准备和缝合技术经验,因此通常在腹腔镜经验更丰富的机构进行。随着机器人辅助技术的引入和发展,以及更小尺寸器械和端口(8毫米和5毫米)的出现,小儿泌尿外科领域复杂的消融和重建手术范围也发生了演变。然而,该领域缺乏随机试验,现有文献主要是病例报告。本文旨在介绍机器人辅助手术在小儿泌尿外科领域的现状和前景。