Centre for Robotics and Minimally Invasive Surgery, Wexham Park Hospital, Slough, Berkshire, UK.
BJU Int. 2013 Jan;111(1):179-80. doi: 10.1111/j.1464-410X.2012.11716.x.
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot-assisted laparoscopic prostatectomy (RALP).
Balloon of a Foley catheter inflated in the bulbar urethra. Fourth arm cranial traction via suture in the tip of the catheter. DVC oversewn under direct vision.
Oversew of DVC with minimal patient-side surgical assistance. About a 50% reduction in apical positive margin rate.
A useful, ergonomic method of oversewing the DVC during RALP.
展示一种在机器人辅助腹腔镜前列腺切除术（RALP）中缝合背血管复合体（DVC）的符合人体工程学的第四臂技术。
将 Foley 导管的球囊充气于球部尿道。通过导管尖端的缝线对第四臂进行颅侧牵引。在直视下缝合 DVC。
在患者侧手术辅助最小的情况下缝合 DVC。尖端阳性切缘率降低约 50%。
RALP 中缝合 DVC 的一种有用的、符合人体工程学的方法。
