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机器人辅助下同期根治性前列腺切除术与腹股沟膀胱疝修补术

Simultaneous Robot-Assisted Radical Prostatectomy and Repair of Inguinal Bladder Hernia.

作者信息

Imasato Naoki, Yajima Shugo, Ogasawara Ryo Andy, Inoue Minoru, Hirose Kohei, Kataoka Madoka, Nakanishi Yasukazu, Masuda Hitoshi

机构信息

National Cancer Center Hospital East Chiba Japan.

出版信息

IJU Case Rep. 2025 Feb 24;8(3):214-217. doi: 10.1002/iju5.70008. eCollection 2025 May.

DOI:10.1002/iju5.70008
PMID:40336745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12055222/
Abstract

INTRODUCTION

We report the first case of simultaneous robot-assisted radical prostatectomy (RARP) and inguinal bladder hernia repair in a patient with prostate cancer, highlighting the feasibility and technical considerations of a combined robotic approach.

CASE PRESENTATION

A 70-year-old male underwent simultaneous RARP and inguinal hernia repair using a robotic approach. A 3D Max mesh (Bard Inc., New Providence, NJ) was placed to reinforce the hernia repair. Postoperatively, the patient has shown no recurrence of the hernia or signs of infection during follow-up.

CONCLUSION

Simultaneous RARP and bladder hernia repair using a robotic approach was successfully performed without complications. This combined procedure may be a safe and effective surgical option for similar cases requiring dual interventions.

摘要

引言

我们报告了首例在前列腺癌患者中同时进行机器人辅助根治性前列腺切除术（RARP）和腹股沟膀胱疝修补术的病例，突出了联合机器人手术方法的可行性和技术要点。

病例介绍

一名70岁男性采用机器人手术方法同时进行了RARP和腹股沟疝修补术。放置了一个3D Max网片（巴德公司，新普罗维登斯，新泽西州）以加强疝修补。术后，患者在随访期间未出现疝复发或感染迹象。

结论

采用机器人手术方法成功同时进行了RARP和膀胱疝修补术，无并发症发生。对于需要双重干预的类似病例，这种联合手术可能是一种安全有效的手术选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/9c6a2a81e6d5/IJU5-8-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/ac3e0fce537e/IJU5-8-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/4f5edb3af84b/IJU5-8-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/05fcb9d45f84/IJU5-8-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/9c6a2a81e6d5/IJU5-8-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/ac3e0fce537e/IJU5-8-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/4f5edb3af84b/IJU5-8-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/05fcb9d45f84/IJU5-8-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/12055222/9c6a2a81e6d5/IJU5-8-214-g002.jpg

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本文引用的文献

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Bladder hernia: a rare clinical image.
Pan Afr Med J. 2023 Oct 2;46:47. doi: 10.11604/pamj.2023.46.47.38892. eCollection 2023.
2
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IJU Case Rep. 2023 Jul 27;6(5):318-320. doi: 10.1002/iju5.12615. eCollection 2023 Sep.
3
Simultaneous hernia repair following robotic-assisted radical prostatectomy is safe with low rates of mesh-related complications.机器人辅助根治性前列腺切除术后同期疝修补术安全，网片相关并发症发生率低。
J Robot Surg. 2023 Aug;17(4):1653-1658. doi: 10.1007/s11701-023-01574-2. Epub 2023 Mar 22.
4
A newer method of seroma reduction by fenestration of pseudo-sac during laparoscopic repair of direct inguinal hernia: A randomised, controlled pilot study.腹腔镜下直疝修补术中通过假性囊开窗引流减少血清肿形成的一种新方法：一项随机对照试验性研究
J Minim Access Surg. 2023 Jan-Mar;19(1):69-73. doi: 10.4103/jmas.jmas_391_21.
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Suturing the lax pseudosac to the Cooper's ligament to prevent seroma in endoscopic hernia repair: A new technique.在内镜下疝修补术中将松弛的假性囊缝合至库珀韧带以预防血清肿：一项新技术。
J Minim Access Surg. 2022 Oct-Dec;18(4):622-624. doi: 10.4103/jmas.jmas_235_21.
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Inguinal hernia with complete urinary bladder herniation: a case report and review of the literature.腹股沟疝伴膀胱完全疝出：一例病例报告及文献复习
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Tumor inside an inguinoscrotal bladder hernia.腹股沟阴囊膀胱疝内的肿瘤。
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