机器人时代根治性膀胱切除术的发展和尿流改道术式的选择  

Development of radical cystectomy and options of urinary diversion in the robotic era

作　　者：马重[1] 曾蜀雄[1] 陈新[1] 许传亮[1] 孙颖浩[1] 

机构地区：[1]第二军医大学长海医院泌尿外科,上海200433

出　　处：《临床泌尿外科杂志》2016年第1期84-88,共5页Journal of Clinical Urology

摘　　要：根治性膀胱切除术是肌层浸润性膀胱癌的标准手术方案。机器人手术的兴起为根治性膀胱切除术提供了技术层面的新选择。此外,不同的尿流改道术式也会对膀胱癌患者的手术并发症、生活质量等产生影响。如何为患者制定最合理的个性化的根治性膀胱切除和尿流改道术式方案是泌尿外科医师关注的问题。本文结合最新的临床证据,就该问题作一综述。Radical cystectomy is the standard surgery for muscle-invasive bladder cancer.The development of robot-assisted surgery provides new technical possibilities for radical cystectomy.Besides,the options of urinary diversion also affect the complications and quality of life of bladder cancer patients.To design appropriate and personalized operative plan for radical cystectomy and urinary diversion is a focus for urologists.This review combining up-to-date clinical evidence investigates this question.

关 键 词：膀胱癌 根治性膀胱切除术 尿流改道术 机器人手术 

分 类 号：R737.14[医药卫生—肿瘤]