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机器人辅助肾输尿管切除术

Robotic Nephroureterectomy.

作者信息

Taylor Benjamin L, Scherr Douglas S

机构信息

Department of Urology, Weill Cornell Medical College-New York Presbyterian, 525 East 68th Street, Star Pavilion, New York, NY 10065, USA.

Department of Urology, Weill Cornell Medical College-New York Presbyterian, 525 East 68th Street, Star Pavilion, New York, NY 10065, USA.

出版信息

Urol Clin North Am. 2018 May;45(2):189-197. doi: 10.1016/j.ucl.2017.12.004. Epub 2018 Feb 21.

Abstract

Upper tract urothelial carcinoma is a rare malignancy that has an abundance of surgical treatment options, including open, laparoscopic, robotic, and endoscopic approaches. As advances in technology allow for shorter, less morbid operations, the variation in care of this uncommon disease has raised concerns about compromising oncologic principles. Many institutions have described their experience with promising results; however, there is a paucity of high-quality data that supports the use of robotic surgery as a new gold standard. This article describes how to perform the operation using a single-dock method and reviews contemporary literature on perioperative and oncologic outcomes.

摘要

上尿路尿路上皮癌是一种罕见的恶性肿瘤,有多种手术治疗选择,包括开放手术、腹腔镜手术、机器人手术和内镜手术。随着技术的进步使得手术时间更短、创伤更小,这种罕见疾病治疗方式的差异引发了对违背肿瘤学原则的担忧。许多机构都描述了他们取得良好结果的经验;然而,缺乏高质量的数据支持将机器人手术作为新的金标准。本文介绍了如何使用单停靠方法进行手术,并综述了关于围手术期和肿瘤学结果的当代文献。

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