Wang Y F, Wang M S, Yang F Y, Chen D, Han S J, Jia B L, Zhang Y, Xing N Z
Department of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua Yi Xue Za Zhi. 2024 Oct 15;104(38):3608-3611. doi: 10.3760/cma.j.cn112137-20240602-01247.
The clinical data of 33 patients who underwent robot-assisted laparoscopic Vattikuti Institute prostatectomy (VIP) in Cancer Hospital of Chinese Academy of Medical Sciences from October 2020 to April 2022 were reviewed and analyzed. Among them, 18 patients received traditional VIP technique and 15 patients received VIP technique with pre-sutured dorsal venous complex (DVC). The ages of the traditional VIP group and the pre-sutured DVC VIP group were (66.1±7.3) and (66.6±5.7) years, respectively. The body mass index (BMI) of the traditional VIP group and the pre-sutured DVC VIP group was (24.3±2.9) and (25.3±2.6) kg/m, respectively. The medical expenses were (91 797.0±7 029.6) and (87 106.6±7 031.4) yuan, respectively, with no statistical significance (all >0.05). The operations of all the 33 cases were successfully completed, and no cases were transferred to open surgery. The operation time of traditional VIP group was longer than that of pre-sutured DVC VIP group [(193.0±37.2) vs (171.1±16.1) min]. The amount of intraoperative blood loss was higher than that in the pre-sutured DVC VIP group [(68.3±22.8) vs (44.0±9.1) ml)], all <0.05. No patients had perioperative blood transfusion, and no patients had complications within 30 days after surgery. All the 33 patients had negative incisal margins. DVC presuture technique can reduce intraoperative bleeding and shorten operative time in robot-assisted laparoscopic VIP radical prostatectomy, and has good curative effect.
回顾性分析2020年10月至2022年4月在中国医学科学院肿瘤医院接受机器人辅助腹腔镜Vattikuti研究所前列腺切除术（VIP）的33例患者的临床资料。其中，18例患者采用传统VIP技术，15例患者采用背静脉复合体（DVC）预缝合的VIP技术。传统VIP组和DVC预缝合VIP组患者的年龄分别为（66.1±7.3）岁和（66.6±5.7）岁。传统VIP组和DVC预缝合VIP组的体重指数（BMI）分别为（24.3±2.9）kg/m和（25.3±2.6）kg/m。医疗费用分别为（91 797.0±7 029.6）元和（87 106.6±7 031.4）元，差异无统计学意义（均>0.05）。33例患者手术均顺利完成，无中转开放手术病例。传统VIP组手术时间长于DVC预缝合VIP组[（193.0±37.2）分钟 vs （171.1±16.1）分钟]。术中出血量高于DVC预缝合VIP组[（68.3±22.8）毫升 vs （44.0±9.1）毫升]，差异均<0.05。所有患者围手术期均未输血，术后30天内均无并发症发生。33例患者切缘均阴性。DVC预缝合技术可减少机器人辅助腹腔镜VIP根治性前列腺切除术中的出血并缩短手术时间，疗效良好。
