机器人辅助根治性前列腺切除术中避免和处理血管损伤
Avoiding and managing vascular injury during robotic-assisted radical prostatectomy.
作者信息
Sotelo René, Nunez Bragayrac Luciano A, Machuca Victor, Garza Cortes Roberto, Azhar Raed A
机构信息
Instituto Médico La Floresta, Urbanización La Floresta, Calle Santa Ana, Clínica La Floresta, Caracas 1060, Venezuela.
Instituto Médico La Floresta, CIMI Centro de Cirugía Robótica y de Invasión Mínima, Caracas, Venezuela.
出版信息
Ther Adv Urol. 2015 Feb;7(1):41-8. doi: 10.1177/1756287214553967.
There has been an increase in the number of urologic procedures performed robotically assisted; this is the case for radical prostatectomy. Currently, in the USA, 67% of prostatectomies are performed robotically assisted. With this increase in robotic urologic surgery it is clear that there are more surgeons in their learning curve, where most of the complications occur. Among the complications that can occur are vascular injuries. These can occur in the initial stages of surgery, such as in accessing the abdominal cavity, as well as in the intraoperative or postoperative setting. We present the most common vascular injuries in robot-assisted radical prostatectomy, as well as their management and prevention. We believe that it is of vital importance to be able to recognize these injuries so that they can be prevented.
机器人辅助进行的泌尿外科手术数量有所增加；根治性前列腺切除术就是这种情况。目前在美国，67%的前列腺切除术是通过机器人辅助进行的。随着机器人泌尿外科手术的增加，显然有更多处于学习曲线阶段的外科医生，而大多数并发症就发生在这个阶段。可能出现的并发症包括血管损伤。这些损伤可能发生在手术初期，如进入腹腔时，也可能发生在术中或术后。我们介绍机器人辅助根治性前列腺切除术中最常见的血管损伤及其处理和预防方法。我们认为能够识别这些损伤以便预防至关重要。
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