机器人辅助激进脏切除术:对于上道泌尿瘤来说,这是一个安全有效的选择,特别是对于新手外科医生来说
Chia-Lun Chang1,2, Chung-You Tsai3,4, Pai-Yu Cheng3,5
1Division of Urology, Department of Surgery, Taipei Tzu Chi Hospital, The Buddhist Medical Foundation, New Taipei 231405, Taiwan.
Cancers
|May 14, 2025
概括
机器人激进瘤切除术 (RARNU) 和腹腔镜激进瘤切除术 (LRNU) 在上道泌尿道癌 (UTUC) 中表现出类似的瘤结果. 对于没有太多腹腔镜经验的外科医生来说,RARNU可能会提供更容易的采用.
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) 是对上道泌尿道癌 (UTUC) 的标准治疗方法.
- 最少侵入性机器人辅助 (RARNU) 和腹腔镜 (LRNU) 方法是开放手术的替代方案,但它们的相对瘤疗效需要澄清.
研究的目的:
- 为了比较机器人辅助激进瘤切除术 (RARNU) 与腹腔镜激进瘤切除术 (LRNU) 的瘤和周围手术结果,用于上通道泌尿管癌 (UTUC).
主要方法:
- 一项回顾性多中心研究分析了2037名接受RNU (2010-2022) 的台湾患者.
- 在RARNU和LRNU组之间重叠权重平衡基线特征.
- 使用卡普兰-梅尔分析和考克斯回归来评估生存结果.
主要成果:
- 在数据调整后,405名患者接受了RARNU,1262名患者接受了LRNU.
- 两组患者的手术并发症率,残留瘤的存在,UTUC特异性死亡率和疾病复发率均相似.
- 总体存活率,癌症特异性存活率和无疾病存活率在RARNU和LRNU组之间相似.
结论:
- 机器人辅助的根性瘤切除术 (RARNU) 与UTUC的纯腹腔镜根性瘤切除术 (LRNU) 提供了可比的瘤和外科治疗结果.
- 对于具有有限腹腔镜经验的外科医生来说,RARNU可能会促进更容易的采用.
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