Tang Hao, Wei Wu, Zhang Zheng-yu, Zhou Wen-quan, Xu Song, Xu Feng, Ge Jing-ping
Zhonghua Nan Ke Xue. 2015 Dec;21(12):1106-9.
To compare robot-assisted laparoscopic radical prostatectomy (RALRP) with laparoscopic radical prostatectomy (LRP) in the treatment of prostate cancer and investigate the clinical application value of RLRP.
We retrospectively analyzed 70 cases of prostate cancer treated by RALRP and another 32 cases treated by LRP. We compared the operation time, intraoperative blood loss and transfusion, catheter-indwelling time, postoperative hospital stay, incisal margin positive rate, biochemical recurrence, and normal postoperative urinary continence and penile erectile function between the two groups of patients.
All the operations were successfully accomplished. RALRP exhibited a significant superiority over LRP in intraoperative blood loss and transfusion, catheter-indwelling time, and postoperative hospital stay, urinary continence and erectile function (P < 0.05).
Robot-assisted laparoscopic radical prostatectomy, with its advantages of few postoperative complications and well-preserved urinary continence and penile erectile function, is an effective, safe and minimally invasive surgical option for prostate cancer.
比较机器人辅助腹腔镜前列腺癌根治术（RALRP）与腹腔镜前列腺癌根治术（LRP）治疗前列腺癌的效果，探讨RALRP的临床应用价值。
回顾性分析70例行RALRP治疗的前列腺癌患者及32例行LRP治疗的患者。比较两组患者的手术时间、术中出血量及输血量、留置导尿管时间、术后住院时间、切缘阳性率、生化复发情况，以及术后正常的尿控和阴茎勃起功能。
所有手术均顺利完成。RALRP在术中出血量及输血量、留置导尿管时间、术后住院时间、尿控及勃起功能方面均显著优于LRP（P<0.05）。
机器人辅助腹腔镜前列腺癌根治术术后并发症少，能较好地保留尿控及阴茎勃起功能，是治疗前列腺癌的一种有效、安全且微创的手术选择。
