修改了三臂端口配置,用于单位置,单接的机器人脏切除术:外科和瘤的结果
Haonan Xing1,2, Tuo Yang1,2, Peng Liu1,2
1Department of Urology, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin, China.
Translational andrology and urology
|February 9, 2026
概括
改进的三臂端口设置用于机器人辅助脏切除术 (RANU) 是安全的和可行的,特别是对于较小的患者. 这种技术在上道泌尿道癌 (UTUC) 方面显示出有前途的早期瘤学结果.
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
- 最少侵入性的手术
背景情况:
- 机器人辅助脏切除术 (RANU) 通常需要重新定位患者.
- 标准的四臂端口配置对于身体较小的患者来说可能是不理想的.
- 一个修改后的三臂端口配置被开发为单位置,单对接RANU.
研究的目的:
- 为了评估修改的三臂端口配置的可行性和安全性,用于单位置,单对接的RANU.
- 评估该技术的术后和初始瘤结果.
主要方法:
- 对10名连续接受RANU的上道泌尿道癌 (UTUC) 患者的回顾性分析.
- 利用达芬奇XI系统与三臂三角端口放置,以最大限度地减少机器人手臂碰撞.
- 对脏,尿道和膀袖口进行了封锁切除.
主要成果:
- 所有程序都成功完成,没有重新定位或转换.
- 平均手术时间为218分钟;平均术后血红蛋白降低为9.3g/L.
- 一名患者 (10%) 经历了Clavien-Dindo I级并发症 (淋巴泄漏);所有边缘都是负的.
- 随访9.5个月的中位数显示,膀复发率为10%.
结论:
- 修改后的三臂端口配置对于单端口RANU来说是可行的和安全的,特别是在较小的患者中.
- 观察到令人满意的术后和初始瘤结局.
- 这种技术可以降低运营成本,并为UTUC提供一种实际的最小侵入性选择,需要进一步验证.
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