Suntharasivam Thiru, Mukherjee Ankur, Luk Angus, Aboumarzouk Omar, Somani Bhaskar, Rai Bhavan Prasad
Department of Urology, Freeman Hospital, Newcastle, UK.
NHS Greater Glasgow and Clyde, Queen Elizabeth University Hospital, Glasgow, UK.
Transl Androl Urol. 2019 Sep;8(Suppl 4):S457-S460. doi: 10.21037/tau.2019.04.06.
The role of robotic assisted surgery in contemporary urolithiasis management is in its infancy. The mainstay in the management of renal tract calculi remains ureterorenoscopy (URS), extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrolithotomy (PCNL). However, in rare clinical circumstances, such as large impacted pelvic and ureteric calculi, endo-urological techniques may not be adequate. Furthermore, patient may have a synchronous pathology such as pelvi-ureteric obstruction which preferably should be concurrently treated with the renal calculi in a single sitting. Robotic assisted laparoscopic ureterolithotomy (RALU), robotic assisted laparoscopic pyelolithotomy (RPL) with or without concurrent pyeloplasty and Robotic assisted laparoscopic anatrophic nephrolithotomy have all been described for complex stones. Additionally, technical challenges with a flexible ureteroscopy (FURS) have led to the development of robotic assisted flexible ureteroscopes. In the article we summarize the role of robotic assisted surgery in complex renal tract calculi.
机器人辅助手术在当代尿石症治疗中的作用尚处于起步阶段。上尿路结石治疗的主要方法仍然是输尿管肾镜检查（URS）、体外冲击波碎石术（ESWL）和经皮肾镜取石术（PCNL）。然而，在罕见的临床情况下，如巨大嵌顿性盆腔和输尿管结石，腔内泌尿外科技术可能并不适用。此外，患者可能存在同步病变，如肾盂输尿管梗阻，最好在一次手术中同时治疗肾结石。机器人辅助腹腔镜输尿管取石术（RALU）、机器人辅助腹腔镜肾盂切开取石术（RPL）（伴或不伴同期肾盂成形术）以及机器人辅助腹腔镜无萎缩性肾切开取石术均已应用于复杂结石的治疗。此外，软性输尿管镜（FURS）的技术挑战促使了机器人辅助软性输尿管镜的发展。在本文中，我们总结了机器人辅助手术在复杂上尿路结石治疗中的作用。
