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良性尿道的管理:机器人辅助腹腔镜,常规腹腔镜和气球扩张的比较

Dong Zi¹, Wentao Cao¹, Fang Chen¹

¹Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Journal of endourology

|June 19, 2023

概括

机器人辅助腹腔镜 (RALP),常规腹腔镜 (LP) 和气球扩张 (BD) 对于良性尿道狭窄 (BUS) 是安全有效的. 虽然BD的恢复时间较短,但RALP和LP的长期成功率更高.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
外科手术的结果

背景情况:

良性尿路收缩 (BUS) 管理选项包括机器人辅助腹腔镜 (RALP),常规腹腔镜 (LP) 和气球扩张 (BD).
对这些BUS治疗方法的安全性和疗效的比较数据对于临床决策至关重要.

研究的目的:

为了比较RALP,LP和BD在治疗良性尿路收缩患者中的安全性和有效性.
分析三种治疗方式中术后结果,并发症率以及短期和长期成功率的差异.

主要方法:

在2016年1月至2020年12月期间为BUS接受RALP,LP或BD的患者的回顾性研究.
分析基线特征,狭窄细节,手术时间,血液损失,住院,费用,并发症和在6,12和24个月的成功率.

主要成果:

两组之间没有观察到基线特征或狭窄细节的显著差异.
与RALP和LP相比,气球扩张 (BD) 显示了较短的手术时间,较少的血液损失和较短的住院时间.
机器人辅助腹腔镜 (RALP) 导致更高的住院费用. 短期成功率相似,但与RALP和LP相比,BD的长期成功率较低.

结论:

RALP,LP和BD都是良性尿路收缩的可行和安全的治疗选择,并发症率和短期疗效相似.
虽然BD在恢复速度和血液损失方面具有优势,但RALP和LP为管理BUS提供了优越的长期成功率.

关键词:

气球扩张膨胀气球扩张腹腔镜检查是指腹腔镜检查.机器人机器人机器人机器人机器人机器人尿管狭窄症尿管狭窄症

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