Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Ther Adv Urol. 2010 Jun;2(3):127-32. doi: 10.1177/1756287210374461.
Computer-assisted robotic renal surgery (CARRS) is a minimally invasive surgical treatment option for renal tumors. We review the literature regarding techniques and outcomes and the potential advantages of CARRS. We retrospectively reviewed the literature regarding techniques and outcomes of CARRS, with specific analysis on robotic radical nephrectomy (RRN) and robotic partial nephrectomy (RPN). Multiple papers on RRN and RPN were found where the techniques were performed with either a transperitoneal or a retroperitoneal approach. Preliminary outcomes with RRN and RPN were at least comparable to those of a laparoscopic approach, with some parameters of RPN improved over the laparoscopic approach (warm ischemia time, length of hospital stay and estimated blood loss). CARRS is an emerging field with preliminary outcomes at least comparable to the laparoscopic approach. Large prospective, randomized trials are needed to assess the benefit of CARRS compared with current methods.
计算机辅助机器人肾手术（CARRS）是一种治疗肾肿瘤的微创外科治疗选择。我们回顾了有关技术和结果的文献，并探讨了 CARRS 的潜在优势。我们回顾性地研究了有关 CARRS 技术和结果的文献，对机器人根治性肾切除术（RRN）和机器人部分肾切除术（RPN）进行了专门分析。发现了多篇关于 RRN 和 RPN 的论文，这些论文中的技术都是通过经腹腔或腹膜后途径进行的。RRN 和 RPN 的初步结果至少与腹腔镜方法相当，一些 RPN 的参数优于腹腔镜方法（热缺血时间、住院时间和估计失血量）。CARRS 是一个新兴领域，其初步结果至少与腹腔镜方法相当。需要进行大型前瞻性、随机试验来评估 CARRS 与现有方法相比的益处。
