机器人辅助腹腔镜根治性前列腺切除术麻醉管理的研究进展  

Research Progress in Anesthetic Management during Robot-Assisted Laparoscopic Radical Prostatectomy

作　　者：周洁刚 易雪梅[2] 陈清清[3] 沈雪[3] 王萌[3] 杨旖欣 雷恩骏[4] 

机构地区：[1]南昌大学研究生院医学部,南昌330006 [2]南昌大学前湖学院,南昌330006 [3]南昌大学医学部,南昌330006 [4]南昌大学第一附属医院麻醉科,南昌330006

出　　处：《南昌大学学报（医学版）》2016年第5期93-96,共4页Journal of Nanchang University：Medical Sciences

基　　金：江西省科技厅重点科技成果推广计划(20112BBI90020)

摘　　要：随着微创外科学的不断发展,达芬奇机器人手术系统已经在泌尿外科领域得到了广泛的应用。近年来机器人辅助腹腔镜根治性前列腺切除术(Robot-assisted laparoscopic radical prostatectomy,RALRP)已经被泌尿外科医生的普遍接受,并逐渐取代了传统的开放性耻骨后前列腺癌根治术。由于这种手术方式的特点以及其所采取的Trendelenburg体位对患者围手术期的生理状态以及血流动力学产生的巨大影响,使得麻醉医生面临巨大的挑战。本文旨在探讨麻醉医生在RALRP围手术期所面临的问题及如何进行更好的麻醉管理。With constant development of minimally invasive surgery, the da Vinci surgery system has gained widespread use in urinary surgery. In recent years, robot-assisted laparoscopic radical prostatectomy （RALRP） has gained popularity among urologists, and gradually replaced traditional open radical retropubic prostatectomy. Because of the profound physiological and hemodynamie changes caused by procedure characteristics and steep Trendelenburg position in patients during perioperative period,anesthesiologists are facing huge challenges. The purpose of this article is to discuss the concerns facing the anesthesiologists in regard to RALRP during perioperative period and how to make better anesthetic management.

关 键 词：达芬奇机器人手术系统 根治性前列腺癌切除术 Trendelenburg体位 麻醉管理 

分 类 号：R697.3[医药卫生—泌尿科学]