经腹膜外机器人辅助腹腔镜前列腺癌根治术在高危前列腺癌中的临床应用

    Clinical application of transperitoneal robot-assisted laparoscopic radical resection of prostate cancer in the treatment of high-risk prostate cancer

    • 摘要:
      目的: 探讨经腹膜外路径机器人辅助腹腔镜前列腺癌根治术治疗高危前列腺癌的临床价值。
      方法: 选取高危前列腺癌病人60例,均行经腹膜外前列腺癌根治术。观察组30例采用机器人辅助腹腔镜技术,对照组30例采用常规腹腔镜技术,比较2组病人相关手术指标和术后并发症发生情况。
      结果 :观察组手术时间、术中出血量、肠道功能恢复时间、术后引流时间均少于对照组(P < 0.05 ~ P < 0.01);2组直肠损伤、切缘阳性、漏尿发生情况差异均无统计学意义(P > 0.05)。
      结论: 经腹膜外机器人辅助腹腔镜前列腺癌根治术治疗高危前列腺癌具有安全、精细、创伤小、恢复快的特点,值得临床推广应用。

       

      Abstract:
      Objective To explore the the clinical value of transperitoneal robot-assisted laparoscopic radical resection of prostate cancer in the treatment of high-risk prostate cancer.
      Method Sixty high-risk prostate cancer patients treated with extraperitoneal radical prostatectomy were selected. The observation group (30 cases) were treated with robot -assisted laparoscopic technology, and the control group (30 cases) were treated with conventional laparoscopic technology. The relevant surgical indexes and postoperative complications were compared between two groups.
      Results The operation time, intraoperative blood loss, intestinal function recovery time and postoperative drainage time in the observation group were less than those in control group (P < 0.05 ~ P < 0.01). There was no statistcial significance in the incidence of rectal injury, positive incisal margin and urine leakage between two groups (P > 0.05).
      Conclusions Peritoneal robot-assisted laparoscopic radical prostatectomy for high-risk prostate cancer has the characteristics of safety, precision, less trauma and quick recovery, and is worthy of clinical application.

       

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