达芬奇机器人辅助腹腔镜保留肾单位肾部分切除术的初步探索(附32例报告  

Robot-assisted laparoscopic partial nephrectomy(report of 32 cases)

作　　者：彭谋[1] 易路[1] 李益坚[1] 吴盛鹏[1] 王子君[1] 王荫槐[1] 

机构地区：[1]中南大学湘雅二医院泌尿外科,长沙410011

出　　处：《现代泌尿生殖肿瘤杂志》2016年第4期198-200,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的总结达芬奇机器人辅助腹腔镜保留肾单位肾部分切除术的手术经验,探讨此术式的疗效及安全性。方法回顾分析2015年10月至2016年6月在我院行达芬奇机器人辅助腹腔镜保留肾单位肾部分切除术的32例肾肿瘤患者（男16例,女16例）的临床资料。结果 32例患者手术均成功完成,无中转开放手术。手术时间90~160 min,平均126 min;热缺血时间17~32 min,平均25min;术中失血量50~200ml,平均101ml,无术中输血;无术中并发症。术后4d拔除引流管,术后住院7~10d,平均8.5d。术后病理检查均为肾透明细胞癌,肿瘤直径2~6cm,平均3.3cm,无1例切缘阳性。结论机器人辅助腹腔镜保留肾单位肾部分切除术是一种微创、安全、高效,疗效确切的手术方式。随着操作者经验的积累,此术式将具有更加明显的优势。Objective To summarize our clinical experience of robot-assisted laparoscopic partial nephrectomy（RALPN）,and to discuss its efficacy and safety. Methods We respectively analyzed 32 patients with renal masses,which underwent intraperitoneal RALPN utilizing the Da Vinci surgical system between October 2015 and June 2016. Results All the operations were accomplished successfully.The mean operation time was 126（90-160）min,the mean warm ischemia time was 25（17-32）min,the mean estimated blood loss was 101（50-200）ml,and no blood transfusion was required and surgical complications occurred.Catheterization was removal in 4d.The patients were discharged on the 7th postoperative days,and mean hospital stay was 8.5（7-10）d.Renal function of all patients was in the normal range.Pathology revealed clear cell renal carcinoma in all.All resection margins were negative. Conclusions RALPN is a minimally invasive,effective and safe approach with more advantages.

关 键 词：达芬奇机器人手术系统 肾肿瘤 保留肾单位肾部分切除术 腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]