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机器人辅助激进前列腺切除术在一个患有直肠的患者中,在水凝间隔器放置后

Erika Ikezoe¹, Yasukazu Nakanishi¹, Gaku Okumura¹

¹Department of Urology, National Cancer Center Hospital East Chiba Japan.

IJU case reports

|February 4, 2026

概括

由前列腺放射治疗水凝间隔器 (SpaceOAR) 引起的罕见直肠囊并发症得到了成功的治疗. 机器人辅助激进前列腺切除术 (RARP) 在囊愈合和水凝再吸收后安全地进行.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
辐射瘤学辐射瘤学
胃肠病学胃肠病学

背景情况:

基于聚乙烯糖醇的水凝间隔器 (SpaceOAR) 用于减少前列腺癌治疗中的直肠辐射剂量.
虽然这些间隔器通常是安全的,但很少会导致直肠并发症,如或形成.

研究的目的:

报告一个成功的机器人辅助激进前列腺切除术 (RARP) 的病例,该病例是在SpaceOAR安置后发生的罕见直肠囊并发症之后.
突出技术可行性和考虑在有水凝相关直肠的病史的患者进行RARP的考虑.

主要方法:

一名62岁的男性患者在SpaceOAR安置后出现了血.
通过MRI和结肠镜检查确认了直肠和的诊断.
最初的保守治疗是肠道休息和抗生素,随后是骨髓切除术.
在内镜和MRI证据显示愈合和水凝再吸收后,口腔闭塞.
随后的RARP进行了跨直肠超声指导.

主要成果:

患者在保守的管理和结肠关闭后从直肠中恢复过来.
机器人辅助激进前列腺切除术 (RARP) 成功并安全地进行.
跨直肠超声指导促进了RARP程序.

结论:

机器人辅助激进前列腺切除术 (RARP) 在有水凝相关直肠瘤病史的患者中是技术上可行的.
对此类病例的管理需要仔细考虑,理想情况下应该在具有丰富经验的中心进行.

关键词:

在太空中OARAR.液凝间隔器是一个水凝间隔器.前列腺癌是前列腺癌.直肠塞直肠塞这是直肠.

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