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机器人辅助根治性膀胱切除术:手术技术、围手术期及肿瘤学结局

Robot-assisted radical cystectomy: surgical technique, perioperative and oncologic outcomes.

作者信息

Hussein Ahmed A, Li Qiang, Guru Khurshid A

机构信息

Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.

Department of Urology, Cairo University, Cairo, Egypt.

出版信息

Curr Opin Urol. 2022 Jan 1;32(1):116-122. doi: 10.1097/MOU.0000000000000953.

Abstract

PURPOSE OF REVIEW

Radical cystectomy is a complex procedure that encompasses surgery involving the urinary, gastrointestinal tracts and the retroperitoneum, with significant morbidity. Robot-assisted radical cystectomy (RARC) has been introduced to improve perioperative outcomes.

RECENT FINDINGS

It has been shown to provide equivalent oncologic outcomes to open radical cystectomy while providing some benefits in terms of perioperative outcomes. A complete intracorporeal approach utilizing intracorporeal urinary diversion may potentially offer additional benefits.

SUMMARY

Herein, we describe our technique for RARC and intracorporeal urinary diversion, as well as a review of oncologic and perioperative outcomes.

摘要

综述目的

根治性膀胱切除术是一种复杂的手术,包括涉及泌尿、胃肠道和腹膜后的手术,具有较高的发病率。机器人辅助根治性膀胱切除术(RARC)已被引入以改善围手术期结局。

最新发现

已证明其在肿瘤学结局方面与开放性根治性膀胱切除术相当,同时在围手术期结局方面具有一些优势。采用体内尿流改道的完全体内入路可能会带来更多益处。

总结

在此,我们描述了我们的RARC和体内尿流改道技术,以及对肿瘤学和围手术期结局的综述。

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