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在小儿生殖尿路瘤中使用机器人手术的现状:系统性审查
Priyank Yadav1, Dheidan Alshammari2, Ihtisham Ahmad3
1Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
概括
机器人辅助手术 (RAS) 为儿科生殖尿道瘤提供了精确和安全的治疗方法,显示出有希望的结果和最小的并发症. 需要进一步的研究才能充分了解其长期益处,并完善技术.
科学领域:
- 儿科瘤学 儿科瘤学
- 手术创新 在外科创新.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 微创手术技术对于改善儿童癌症护理结果至关重要.
- 机器人辅助手术 (RAS) 对儿科患者在精度和恢复方面具有潜在的优势.
研究的目的:
- 系统地审查当前关于RAS在治疗儿科生殖尿道瘤中的作用和影响的证据.
- 评估RAS对这些疾病的可行性,安全性和患者结局.
主要方法:
- 对接受RAS治疗的儿科患者进行生殖尿道瘤研究的系统审查,注册为PROSPERO (CRD42023464820).
- 在PubMed,EMBASE和Scopus中进行的搜索直到2023年10月.
- 使用ROBINS-I和乔安娜·布里格斯研究所工具评估质量和偏见;包括42项研究.
主要成果:
- 机器人辅助脏手术是最常见的,显示出高切除完整性和低复发率.
- 对上腺,膀和前腺瘤观察到有前途的结果,很少有人转换为开放性手术.
- 协作方法和先进的外科手术工具提高了手术成功率.
结论:
- 拉斯是一个有前途的方法,用于儿科生殖尿道瘤,使精确切除和有利的结果.
- 需要进一步的研究,包括更大的队列研究,以解决学习曲线和优化RAS应用.
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