腹腔镜辅助下膀胱癌间质近距离放疗

Nap-van Klinken Annemieke, Bus Saskia J E A, Janssen Theodorus G, Van Gellekom Marion P R, Smits Geert, der Steen-Banasik Elzbieta Van

Department of Radiation Oncology, Arnhem Radiotherapy Institution (ARTI), Arnhem.

Urology Department, Rijnstate Hospital Arnhem, Arnhem, Netherlands.

J Contemp Brachytherapy. 2014 Oct;6(3):313-7. doi: 10.5114/jcb.2014.45492. Epub 2014 Sep 23.

Since 2009, 40 patients with a T1/T2 bladder cancer have been treated at ARTI with interstitial brachytherapy via laparoscopy. Under general anaesthesia, the tumour area is implanted under cystoscopic control with the aid of a laparoscope, and instruments are attached to the Da Vinci robot. Mapping is then done via a simulator photo and a CT scan. With this method, the patient has fewer complications and the average hospitalization time is halved, while a consistent quality of implant is maintained. This method is also associated with a major reduction in the number of problems that can be attributed to the accessibility of the catheter.

自2009年以来，40例T1/T2期膀胱癌患者在ARTI接受了腹腔镜间质近距离放射治疗。在全身麻醉下，在腹腔镜辅助的膀胱镜控制下植入肿瘤区域，并将器械连接到达芬奇机器人上。然后通过模拟照片和CT扫描进行映射。采用这种方法，患者并发症较少，平均住院时间减半，同时植入质量保持一致。这种方法还与可归因于导管可及性的问题数量大幅减少有关。