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Updated: Feb 6, 2026

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在经过验证的模型中,在激进前列腺切除术后进行机器人输尿管 Vesicourethral Anastomosis
Jesse F d'Almeida1, Kimberly A Maciolek2, Ethan Wilke1
1Mechanical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
Journal of endourology
|February 5, 2026
概括
这项研究引入了一种新型的同心管机器人 (CTR) 系统,用于通过尿道进行激进前列腺切除. 在91%的幻影实验中,CTR系统成功启用了膀管道解剖,克服了以前的限制.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 机器人手术 机器人手术
- 医疗器械 医疗器械
背景情况:
- 在急性前列腺切除术中,最少的侵入性技术可以改善患者的康复.
- 通过尿道切除前列腺的目的是减少手术剖析,但在膀管内解剖时面临挑战.
- 通过尿道切除前列腺切除术后,有限的仪器阻碍了可靠的解剖.
研究的目的:
- 开发和评估一个同心管机器人 (CTR) 系统,用于穿尿管尿管道解剖.
- 为了解决通过尿道切除前列腺切除术后解剖的现有仪器仪表的局限性.
- 为了使激进的前列腺切除术能够采用自然孔的方法.
主要方法:
- 一个新的CTR系统与针尺寸的机器人手臂被用于穿尿管外科手术.
- 该CTR系统使用望远镜,曲,弹性管用于尿道内 suturing.
- 系统性能在经过验证的幻体中进行了评估,以检测通过尿道切除激素前列腺切除术后的膀外腔解剖.
主要成果:
- 在11个幻体中进行过尿道激进前列腺切除和解剖切除.
- 在11个实验中的10个 (91%) 实现了成功的膀管道解剖.
- 切除时间中位数为19分钟,接时间中位数为103分钟.
结论:
- 在幻影模型中,CTR系统成功启用了通过尿道的膀尿道解剖.
- 这种机器人系统克服了自然孔激进前列腺切除术的关键障碍.
- CTR 促进了膀管道解剖的内完成.
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