Nagasubramanian Santhosh, Leow Jeffrey J, Sooriakumaran Prasanna
Department of Robotics and Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Department of Urology, Christian Medical College, Vellore, Tamil Nadu, India.
J Endourol. 2025 Mar;39(S1):S27-S34. doi: 10.1089/end.2024.0616.
Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) is a technically challenging procedure, which can confer benefits of early return to urinary continence. This article describes the indications, relative contraindications, preoperative preparation, surgical steps, and postoperative care of patients who undergo RS-RARP. In addition, we highlight several scenarios where RS-RARP can be attempted, such as anterior tumors, large median lobes, previous bladder outlet operation, pelvic lymph node dissection, previous inguinal hernia mesh procedure, salvage operation, and renal transplant recipients.
保留Retzius间隙的机器人辅助根治性前列腺切除术（RS-RARP）是一项技术要求较高的手术，它能带来早期恢复尿失禁的益处。本文描述了接受RS-RARP患者的适应证、相对禁忌证、术前准备、手术步骤及术后护理。此外，我们重点介绍了几种可尝试RS-RARP的情况，如前部肿瘤、大的中叶、既往膀胱出口手术、盆腔淋巴结清扫、既往腹股沟疝修补手术、挽救性手术以及肾移植受者。
