机器人腹膜后与经腹腔途径肾部分切除术治疗T_(1)期肾肿瘤的比较  

Robot assisted partial nephrectomy for the treatment of T1 tumor:retroperitoneal approach vs transperotoneal approach

作　　者：何威[1] 戴军[1] 黄欣[1] 赵菊平[1] 汪成合[1] 许乐 方晨[1] 徐丹枫[1] 孙福康[1] He Wei;Dai Jun;Huang Xin;Zhao Juping;Wang Chenghe;Xu Le;Fang Chen;Xu Danfeng;Sun Fukang(Department of Urology,Ruijin Hospital,Shanghai Jiaotong University,School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院泌尿外科,200025

出　　处：《中华腔镜泌尿外科杂志（电子版）》2021年第6期467-470,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：国家自然科学基金面上项目(81972494);上海市卫计委面上项目(201540081)。

摘　　要：目的探讨达芬奇机器人辅助腹膜后腹腔镜肾部分切除术(RARPN)的安全性与可行性。方法回顾性分析2016年3月以来,我科以腹膜后途径行达芬奇机器人辅助肾部分切除术20例(RARPN组),并与同时期内的经腹腔途径达芬奇机器人辅助肾部分切除术52例(RATPN组)进行比较。RARPN和RATPN组,患者平均年龄:(53±8)岁和(47±6)岁;肿瘤直径中位数:2.8 cm和3 cm;R.E.N.A.L评分中位数:6分和6分。结果两组在手术时间、失血量、泊位时间、住院天数间的差异无统计学意义,但在术后早期进食方面RARPN表现优于RATPN(18 h vs 27 h)。结论RARPN是一种安全可行的手术方式,有利于患者术后早期肠道功能恢复,对存在腹部手术史的患者尤其适合。Objective To explore the safety and feasibility of the robot-assisted retroperitoneal partial nephrectomy(RARPN).Methods Twenty cases underwent RARPN since March 2016 in our department,and the perioperative data were compared with 52 cases of robot-assisted transperitoneal partial nephrectomy(RATPN)retrospectively.In RARPN group and RATPN group,the mean age was(53±8)vs(47±6)years.The median of tumor size was 2.8 cm vs 3 cm,and the median of R.E.N.A.L score was 6 vs 6.Results RARPN was equivalent with RATPN in operating time(OT),estimated blood loss(EBL),docking time(DT)and hospital stay(HS),but was superior to RATPN as early resumption of food intake was concerned(18 h vs 27 h).Conclusion RARPN is a safe and feasible modality for the treatment of renal tumor which offers earlier food oral intake,especially for those with previous abdominal surgery.

关 键 词：机器人 肾部分切除术 肾肿瘤 

分 类 号：R737.11[医药卫生—肿瘤]