机器人辅助腹腔镜"一步"激进脏切除术和膀袖口切除术的有效性和安全性
Liao Chunyu1, Zhao Tonglei2, Peng Xinyang2
1Department of Urology, Nanjing Longpan Stone Hospital, Nanjing, 210002, China.
World journal of urology
|May 7, 2025
概括
机器人辅助的腹腔镜激进脏切除术与膀袖口切除术是安全有效的. 这种微创手术方法可以减少并发症,并改善上道泌尿道癌患者的治疗结果.
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:
- 上管泌尿道癌 (UTUC) 需要进行手术治疗.
- 带有膀袖口切除的彻底瘤切除术是标准的治疗方法.
- 最少侵入性技术的目的是减少发病率.
研究的目的:
- 评估机器人辅助腹腔镜"一步"激进脏切除术和膀袖口切除术的疗效和安全性.
- 评估外科手术期间的结果,并发症和瘤学结果.
主要方法:
- 对接受该程序的69名患者的回顾性分析.
- 详细描述手术定位和步骤.
- 收集有关手术时间,失血,住院,并发症和复发情况的数据.
主要成果:
- 所有69次手术都成功完成.
- 平均手术时间:149.66分钟;平均血液损失:64.57毫升.
- 低并发症率 (8名Clavien-Dindo II级患者) 和1年瘤复发率为4.3%.
结论:
- 机器人辅助的腹腔镜"一步骤"激进瘤切除术和膀袖口切除证明了有利的安全性.
- 这种手术有效地减少了手术后的并发症.
- 它改善了UTUC患者的预后和生存率.
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...