最少侵入性激进脏切除术:技术和结果的5年更新
Antonio Franco1,2, Francesco Ditonno1,3, Carol Feng1
1Department of Urology, Rush University, Chicago, IL 60612, USA.
Cancers
|September 28, 2023
概括
激进性瘤切除术 (RNU) 是治疗上道泌尿道癌症的标准. 最少侵入性技术,特别是机器人辅助激进脏切除术 (RANU),显示出与开放性手术相比的安全性和有效性.
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
背景情况:
- 激进性瘤切除术 (RNU) 是对非转移性上道泌尿道癌 (UTUC) 的黄金标准.
- 手术技术的选择涉及瘤特征,患者健康状况和外科医生的专业知识.
研究的目的:
- 批判性地审查最近的证据 (过去5年) 关于UTUC的最小侵入性RNU技术.
- 专注于机器人辅助激进脏切除术 (RANU) 的结果.
主要方法:
- 关于过去五年发表的研究的文献综述.
- 专注于微创性RNU,特别是RANU的瘤和功能结果.
主要成果:
- 包括RANU在内的最小侵入性RNU显示出有希望的瘤和功能结果.
- 微创性RNU的生存率与传统的开放方法相似.
结论:
- 最少侵入性的RNU,特别是RANU,是UTUC的安全有效的治疗选择.
- 证据支持RANU作为UTUC开放手术的可行替代方案.
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