在机器人妇科切除子宫手术期间,用于尿路并发症的手术内静脉镜检查
Chikako Nagata1, Shintaro Yanazume2, Yusuke Kobayashi1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
Journal of robotic surgery
|May 28, 2025
概括
常规囊镜可以有效地检测机器人妇科手术期间的尿路并发症. 这种诊断工具可以准确地识别膀损伤和尿管阻塞,具有高度的灵敏度和特异性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科外科手术 妇科外科
- 手术创新 在外科创新.
背景情况:
- 机器人妇科手术越来越常见.
- 囊镜在这些手术期间预防尿路并发症的作用需要进一步研究.
研究的目的:
- 评估例行囊镜在机器人妇科手术期间检测膀和尿道并发症的有效性.
- 评估囊镜的诊断准确性,以识别特定的尿路损伤.
主要方法:
- 对403名接受机器人手术的患者进行了回顾性研究 (2017年2月 - 2024年4月).
- 在手术中使用印花红色染料进行囊镜检查,以评估膀的完整性和尿管外流.
- 视觉检查是否有染料泄漏到腹膜内或没有尿管外流.
主要成果:
- 囊镜检查发现了2/4的膀损伤 (总体为0.9%) 和1/1的尿路阻塞 (总体为0.2%).
- 尿管阻塞检测的灵敏度和特异性分别为100%和98.0%.
- 术后并发症包括1例尿道狭窄 (0.2%) 和6例囊炎 (1.5%).
结论:
- 在机器人妇科手术期间,常规的手术内囊泡检查是一种有效的诊断工具,用于识别膀损伤和尿管阻塞.
- 该程序对患者的负担最小,准确度高,有助于及时进行手术纠正.
相关概念视频
Urologic Endoscopic Procedure: Cystoscopic Examination
2.4K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
2.4K
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.3K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.3K
Urinary Tract Calculi VI: Surgical Management
389
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...
389
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
1.1K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
1.1K


