机器人辅助腹腔镜完全体内尿流改道的应用现状  

Application status of robot-assisted laparoscopy for intracorporeal urinary diversions

作　　者：范世达 任尚青 周放 陈正军 杨文钊[1] 吕倩[1] 李安 冯华林 王强[1] 倪凯欣 聂钰 王东[1] FAN Shida;REN Shangqing;ZHOU Fang;CHEN Zhengjun;YANG Wenzhao;LV Qian;LI An;FENG Hualin;WANG Qiang;NI Kaixin;NIE Yu;WANG Dong(Department of Robotic Minimally Invasive Surgery Center,Sichuan Academy of Medical Sciences&Sichuan Provincial People’s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院机器人微创中心,四川成都610072

出　　处：《机器人外科学杂志（中英文）》2020年第3期220-224,共5页Chinese Journal of Robotic Surgery

摘　　要：目前在许多医学中心机器人辅助腹腔镜膀胱根治性切除术已成为治疗肌层浸润性膀胱癌的标准术式,围手术期并发症、术后恢复时间及术后生活质量较传统手术方式均表现出了优势。尿流改道术作为治疗肌层浸润性膀胱癌的重要组成部分,目前尚无统一手术标准,仍以开放尿流改道术为主流。随着微创技术的应用及普及,机器人辅助腹腔镜体内尿流改道术已在大型医学中心得到应用及验证,本文将对机器人辅助腹腔镜膀胱根治性切除术后行体内尿流改道术相关并发症及术后功能学、肿瘤学结果进行简要阐述。Robot-assisted laparoscopic radical cystectomy has become the standard procedure in treating muscular invasive bladder cancer in many medical centers for now.Perioperative complications,postoperative recovery time and postoperative quality of life to robotic surgery show advantages over traditional surgical methods.Urinary diversion is an important part in treating muscular invasive bladder cancer.As there is no unified surgical standard at present,open urinary diversion is still the most common treatment way.With the application and popularization of minimally invasive technology,intracorporeal urinary diversions has been applied and verified in large medical centers.The complications,postoperative functional and oncological results of robotic-assisted laparoscopic urinary diversion after radical cystectomy are mainly discussed in this paper.

关 键 词：机器人辅助腹腔镜 体内尿流改道术 微创技术 

分 类 号：R694[医药卫生—泌尿科学]