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单端口机器人逆膜膜切除术与膀袖口切除:使用多端口跨膜方法进行比较队列研究
Seokhwan Bang1, Dongho Shin1, Yong Hyun Park1
1Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
单端口 (SP) 机器人瘤切除术 (NUx) 是可行的,并且与多端口 (MP) NUx相比,减少了操作时间. 这种最少的侵入性方法显示出与尿路细胞癌治疗相似的安全性和有效性.
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
- 机器人手术 机器人手术
背景情况:
- 泌尿癌需要进行肺切除术 (NUx) 并切除膀袖口.
- 对于改善患者的治疗结果,最好采用最少的侵入性方法.
研究的目的:
- 为了评估单端口 (SP) 机器人瘤切除术 (NUx) 与膀袖口切除术的疗效和安全性.
- 将SP机器人NUx与传统的多端口 (MP) 机器人方法进行比较.
主要方法:
- 对105名患有尿路癌的患者进行了回顾性审查,这些患者接受了机器人辅助的腹腔镜NUx.
- 在接受MP NUx的52名患者和接受SP NUx的53名患者之间对外科结局的比较.
主要成果:
- 患者特征,控制台时间或功能损失没有显著差异.
- SP机器人NUx在统计学上显著地减少了总操作时间 (平均短45分钟).
- 与MP机器人NUx相比,SP机器人NUx导致估计的血液损失显著降低.
结论:
- 单端口机器人脏切除术与膀袖口是多端口方法的可行替代方案.
- SP方法在减少手术时间方面具有优势,这是由于改善了膀袖口切除的准入.
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