Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Centre, Beijing, China.
Department of Urology, Emergency General Hospital, Beijing, China.
Int J Med Robot. 2021 Jun;17(3):e2230. doi: 10.1002/rcs.2230. Epub 2021 Feb 24.
This study is an initial comparative analysis of perioperative and intermediate-term functional outcomes between patients who underwent robot-assisted laparoscopic (RALS) or conventional laparoscopic surgery (LS).
A total of 25 patients who underwent ileal ureter replacement (10 RALS and 15 LS) were followed by functional cine magnetic resonance urography (MRU) combined with a modified Whitaker test. Also, the characteristics, perioperative data and functional outcomes of the patients were compared.
The estimated blood loss, postoperative hospital stay and time to oral intake were significantly lower in the RALS group. At the median 14-month follow-up, all the patients showed improved renal function and were symptom-free, with no signs of leakage or stenosis observed by cine MRU combined with a modified Whitaker test.
RALS with an extracorporeal bowel resection is feasible and appears to be safe, with quick postoperative recovery and encouraging outcomes.
本研究初步对比分析了接受机器人辅助腹腔镜（RALS）或传统腹腔镜手术（LS）治疗的患者的围手术期和中期功能结局。
共随访 25 例行回肠代输尿管术（10 例行 RALS，15 例行 LS）的患者，通过功能电影磁共振尿路造影（MRU）结合改良 Whitaker 试验评估。此外，还比较了患者的特征、围手术期数据和功能结局。
RALS 组的估计出血量、术后住院时间和口服摄入时间明显更低。在中位数为 14 个月的随访中，所有患者的肾功能均有所改善，无任何症状，通过电影 MRU 结合改良 Whitaker 试验未观察到漏尿或狭窄的迹象。
RALS 联合体外肠切除术是可行的，似乎是安全的，术后恢复迅速，结果令人鼓舞。
