带有膀袖口切割的逆单孔机器人辅助脏切除术:最初的经验和技术描述
Seokhwan Bang1, Hyuk Jin Cho1, U-Syn Ha1
1Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Journal of clinical medicine
|September 28, 2023
概括
单端口 (SP) 机器人瘤切除术 (NUx) 采用逆关节的方法是上道泌尿道癌 (UTUC) 的可行的手术选择. 这项研究表明,在20名患者中,术前和术后的结果是积极的,没有并发症.
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
- 最少侵入性的手术
背景情况:
- 单端口 (SP) 机器人系统的出现使复杂的外科手术程序成为可能.
- 对上道泌尿道癌 (UTUC) 的脏切除术 (NUx) 可能可以使用使用SP机器人技术的逆膜 (RP) 方法进行.
研究的目的:
- 评估SP机器人逆腺切除术 (RP NUx) 的可行性,包括UTUC的膀袖口切除.
主要方法:
- 在2021年1月至2022年12月期间,对20名被诊断患有UTUC的患者进行了顺序分析,这些患者通过逆关节方法接受了SP机器人NUx.
- 程序由一个专家外科医生使用达芬奇SP平台进行.
主要成果:
- 该研究包括20名患有UTUC的患者,平均年龄为69.45岁,平均BMI为25.37公斤/米2.
- 平均控制台时间为106分40秒,预计血液损失为122.50毫升.
- 在所有患者中,病理学证实了尿路细胞癌,其阶段从Ta到T4. 没有报告Clavien-Dindo并发症.
结论:
- SP机器人NUx带有后关节方法和膀袖口切除是UTUC的一种可行的手术选择.
- 在这个患者队列中,该程序显示了良好的术前和术后结果.
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