复杂病例行机器人辅助腹腔镜前列腺癌根治术的初步经验  

Initial experience with robot-assisted laparoscopic prostatectomy for complicated cases

作　　者：姚鲲[1] 何乐业[1] 刘斌[1] 汤进[1] 戴英波[1] 龙智[1] 刘建业[1] 张一川[1] 

机构地区：[1]中南大学湘雅三医院泌尿外科,长沙410013

出　　处：《中南大学学报（医学版）》2017年第5期600-604,共5页Journal of Central South University ：Medical Science

摘　　要：目的:探讨机器人辅助腹腔镜前列腺癌根治术(robot-assisted laparoscopic prostatectomy,RALP)治疗复杂前列腺癌病例的初步经验。方法:回顾性分析中南大学湘雅三医院2015年10月至11月行RA LP的4例复杂前列腺癌患者的临床和病理资料。4例患者,年龄58~70岁,均接受过经尿道等离子镜下前列腺癌剜除术和内分泌治疗。结果:4例患者手术均获成功,基线前列腺特异抗原(prostate specific antigen,PSA)6.04~70.15 ng/m L,临床分期T2b^T3b,手术时间180~360 min,术中出血量50~250 m L,均未输血,手术切缘均为阴性。结论:虽然经尿道前列腺手术史和内分泌治疗史会增加手术难度,RA LP仍可用于此类复杂前列腺癌病例的治疗。Objective： To present our initial experience with robot-assisted laparoscopic prostatectomy （RALP） for complicated cases. Methods： Clinical and pathological data from 4 complicated prostate cancer cases, who underwent RALP from October to November in 2015, were analyzed retrospectively. All the cases were conducted transurethral plasmakinetic enucleation of prostate and hormonal therapy before RALP. Results： All surgeries were done successfully, The age, baseline prostatic special antigen, clinical tumor stage, operation time and estimated blood loss were 58-70 years, 6.04-70.15 ng/mL, T2b- T3b, 210-360 rain and 50-250 mL, respectively. No blood transfusion was needed. All surgical margin were negative. Conclusion： Although previous transurethral surgeries and hormonal therapies may increase the difficulty for operations, RALP is still appropriate for the complicated cases of prostate cancer.

关 键 词：机器人 前列腺癌根治术 复杂病例 

分 类 号：R737.25[医药卫生—肿瘤]