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机器人辅助的激进囊切除术与体内尿路转移:丹麦11年系列

Marie-Louise Vrang¹, Peter Busch Østergren¹, Mikkel Mejlgaard Fode¹

¹Department of Urology, Herlev and Gentofte Hospital, Copenhagen, Denmark.

BJU international

|July 3, 2023

概括

机器人辅助的激进囊切除术与体内尿路转移是膀癌的可行程序. 然而,新膀重建会增加高度并发症的风险.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
机器人手术机器人手术

背景情况:

机器人辅助激进囊切除术 (RARC) 越来越多地用于膀癌治疗.
身体内尿路转移 (ICUD) 的目的是尽量减少侵入性.
评估瘤和外科手术期间的结果对于建立最佳实践至关重要.

研究的目的:

评估与ICUD进行RARC的大型单中心队列的瘤和外科外科结局.
确定无复发生存率 (RFS),癌症特异性生存率 (CSS) 和整体生存率 (OS) 的预测因素.
确定与高度并发症相关的因素.

主要方法:

预期包括542名为膀癌或 carcinoma in situ (2009-2020) 接受RARC治疗的患者.
对生存结果的卡普兰-梅尔分析 (RFS,CSS,OS).
考克斯比例危险和物流回归模型,以确定结果预测因素.

主要成果:

5年的RFS,CSS和OS率分别为63%,75%和67%.
病理性非器官局限性疾病预测了较差的生存结果.
新膀重建与明显更高的高度并发症风险相关 (OR 2.54).

结论:

与ICUD一起的RARC是膀癌的可行和安全的标准程序.
在考虑新膀重建时,由于并发症风险增加,需要对患者进行仔细的选择和咨询.

关键词:

膀癌:膀癌是一种癌症.高度的并发症是高度的并发症.身体内部的转移.机器人辅助的激进囊切除术幸存率幸存率生存率

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