机器人辅助的根性囊切除术与皮肤尿路切除术:一个当代的多中心分析
Reuben Ben-David1, Francesco Pellegrino2, Parissa Alerasool3
1Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, 1425 Madison Avenue, New York, NY, USA. reuben.bendavid@mountsinai.org.
World journal of urology
|April 23, 2024
概括
机器人辅助的皮肤尿管切除术 (RARC+UCS) 是对特定患者的可行选择,有可能减少没有肠道解剖的并发症和再入院. 需要进一步的研究来证实这些发现.
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:
- 机器人辅助激进囊切除术 (RARC) 提供了手术的好处,如减少血液损失和更短的住院时间.
- 皮肤尿路静脉切除术 (UCS) 是一种未充分利用的尿路转移方法,适合特定患者群体.
- 将RARC与UCS结合起来,可能会为患有并发症或寿命有限的患者提供另一种选择.
研究的目的:
- 评估RARC + UCS的操作和周围操作特征.
- 评估接受RARC + UCS的患者的瘤结局.
- 描述这种联合手术方法的安全性和有效性.
主要方法:
- 对2013年至2023年期间在两个欧洲和一个美国中心接受RARC + UCS的患者进行了回顾性分析.
- 从前性维护的数据库中收集的数据包括基线特征,病理发现和瘤结果.
- 统计分析使用描述性统计和生存分析,使用R语言版本4.3.1.1.
主要成果:
- 分析了69名患者 (平均年龄为77岁),平均随访时间为11个月.
- 30天的并发症率为55.1% (14.4%等级≥3a),再入院率为17.4%.
- 转移性复发发生在15.9%的患者中,总生存率在6个月为84%,12个月为81%,24个月为73%.
结论:
- 与传统方法相比,RARC + UCS可能会导致较低的并发症和再入院率.
- 这种方法避免了肠道解剖,使其成为选择患有并发症或寿命有限的患者的潜在选择.
- 需要进行更大的前性研究来验证这些初步发现,并确定RARC + UCS.的长期疗效.
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