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机器人辅助单纯前列腺切除术治疗两例良性前列腺增生症:日本首例报告

Robot-Assisted Simple Prostatectomy for Two Cases of Benign Prostatic Hyperplasia: The First Report in Japan.

作者信息

Kitano Hiroyuki, Yoshioka Hayato, Ono Yuto, Ueno Rei, Nakano Yoshinori, Hatayama Tomoya, Yukihiro Kazuma, Iwane Kyosuke, Kohada Yuki, Naito Miki, Kobatake Kohei, Sekino Yohei, Hinata Nobuyuki

机构信息

Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.

出版信息

IJU Case Rep. 2025 Apr 14;8(3):206-209. doi: 10.1002/iju5.70006. eCollection 2025 May.

DOI:10.1002/iju5.70006
PMID:40336750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12055210/
Abstract

INTRODUCTION

Robot-assisted simple prostatectomy is associated with better perioperative outcomes than those of open simple prostatectomy. We report the outcomes of two cases treated with robot-assisted simple prostatectomy.

CASE PRESENTATION

The first patient was an 81-year-old man with a prostate volume of 139 mL. The second patient was a 77-year-old man with a prostate volume of 98 mL. Robot-assisted simple prostatectomy was performed using Da Vinci Xi. The operative times and enucleated weights for the first and second patients were 210 min and 82 g, and 191 min and 53 g, respectively. Postoperative uroflowmetry of the first and second patients revealed maximum flow rates and postvoid residual volumes of 32.5 mL/s and 15 mL at 6 months postoperatively, and 22.1 mL/s and 6 mL at 1 month postoperatively, respectively.

CONCLUSION

Robot-assisted simple prostatectomy is useful for large prostates.

摘要

引言

与开放性单纯前列腺切除术相比,机器人辅助单纯前列腺切除术具有更好的围手术期效果。我们报告了两例接受机器人辅助单纯前列腺切除术的病例结果。

病例介绍

首例患者为一名81岁男性,前列腺体积为139毫升。第二例患者为一名77岁男性,前列腺体积为98毫升。使用达芬奇Xi系统进行机器人辅助单纯前列腺切除术。首例和第二例患者的手术时间和摘除重量分别为210分钟和82克,以及191分钟和53克。首例和第二例患者术后尿流率显示,术后6个月最大尿流率和残余尿量分别为32.5毫升/秒和15毫升,术后1个月分别为22.1毫升/秒和6毫升。

结论

机器人辅助单纯前列腺切除术对大体积前列腺有用。

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本文引用的文献

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Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (BPH): AUA Guideline Amendment 2023.良性前列腺增生 (BPH) 相关下尿路症状的管理:2023 年 AUA 指南修订版。
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Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy.
钬激光前列腺剜除术与机器人辅助单纯前列腺切除术的当代手术结局比较。
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Laparoscopic simple prostatectomy versus robot-assisted simple prostatectomy for large benign prostatic hyperplasia: a systematic review and meta-analysis of comparative trials.腹腔镜单纯前列腺切除术与机器人辅助单纯前列腺切除术治疗大体积良性前列腺增生症的比较:系统评价和荟萃分析。
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Clinical Outcome of Endoscopic Enucleation of the Prostate Compared With Robotic-Assisted Simple Prostatectomy for Prostates Larger Than 80 cm in Aging Male.老年男性前列腺体积大于 80 cm 时,内镜前列腺切除术与机器人辅助单纯前列腺切除术的临床结局比较。
Am J Mens Health. 2021 Nov-Dec;15(6):15579883211064128. doi: 10.1177/15579883211064128.
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