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[我们科室开展的泌尿肿瘤机器人手术]

[Uro-oncological robotic procedures performed in our department].

作者信息

Vokó Boldizsár, Mayer Tamás, Szegedi Ákos, Tenke Péter

机构信息

Urológiai Osztály, Budapesti Jahn Ferenc Dél-pesti Kórház és Rendelőintézet, Budapest, Hungary.

出版信息

Magy Onkol. 2024 Sep 19;68(3):263-266. Epub 2024 Jul 26.

Abstract

Our objective was to present the perioperative and oncological results of robot-assisted surgery performed in our department. In our publication, we retrospectively reviewed the data of 658 robot-assisted procedures performed between 01/02/2022 and 31/03/2024. The average operative time for radical prostatectomy with bilateral lymph node block dissection was 229 minutes, mean blood loss was 305 ml. Without lymphadenectomy, mean blood loss was 233 ml, operative time was 185 minutes. Biochemical relapse- free rate was 81.6% one year after the procedures. 165 patients underwent robot-assisted partial nephrectomy, and 48 patients underwent radical nephrectomy. We performed the first robot-assisted cystectomy with intracorporeal "neobladder" technique in Hungary. In terms of urinary diversion, we performed orthotopic bladder formation in 10 cases, Bricker bladder formation in 20 cases, and uretherocutaneostomia in 4 cases. We also performed the first robot- assisted retroperitoneal lymphadenectomy in the country. As a conclusion, using robot-assisted technology, the full spectrum of radical uro-oncological surgical procedures can be safely performed in a minimally invasive manner. Our experience and results are encouraging so far, validating the increasing domestic distribution of robotic surgery.

摘要

我们的目的是展示在我们科室进行的机器人辅助手术的围手术期和肿瘤学结果。在我们的出版物中,我们回顾性分析了2022年2月1日至2024年3月31日期间进行的658例机器人辅助手术的数据。双侧淋巴结整块清扫的根治性前列腺切除术的平均手术时间为229分钟,平均失血量为305毫升。不进行淋巴结清扫时,平均失血量为233毫升,手术时间为185分钟。术后一年的生化无复发生存率为81.6%。165例患者接受了机器人辅助部分肾切除术,48例患者接受了根治性肾切除术。我们在匈牙利首次采用体内“新膀胱”技术进行了机器人辅助膀胱切除术。在尿流改道方面,我们进行了10例原位膀胱成形术、20例Bricker膀胱成形术和4例输尿管皮肤造口术。我们还在国内首次进行了机器人辅助腹膜后淋巴结清扫术。总之,使用机器人辅助技术,可以以微创方式安全地进行全谱根治性泌尿肿瘤外科手术。到目前为止,我们的经验和结果令人鼓舞,证实了机器人手术在国内的日益普及。

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