根治性前列腺切除术手术入路创新进展与加速康复外科  

Innovative advances of surgical approach in radical prostatectomy and enhanced recovery after surgery

作　　者：程晓锋 王共先[1] CHENG Xiaofeng;WANG Gongxian(Department of Urology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院泌尿外科,江西南昌330006

出　　处：《机器人外科学杂志（中英文）》2022年第6期500-510,共11页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金项目(82060467);国家自然科学基金项目(81760457);江西省科技重大专项(20161ACG70013)。

摘　　要：随着机器人微创外科技术的引入和不断发展,根治性前列腺切除术的手术入路也有了不同程度的创新和发展,此外加速康复外科理念在临床实践中不断深入,其目的都是为了更好地实现“三连胜(肿瘤控制、尿控及性功能保留)”的治疗目标。本综述将从手术入路的角度进行总结和分析,希望能为泌尿外科医师选择不同手术入路时提供一定的参考和借鉴。With the development of minimally invasive robotic techniques,surgical approaches for radical prostatectomy have also been innovated and developed to some extent.In addition,the concept of enhanced recovery after surgery has been further promoted in clinical practice with the purpose of achieving the Trifecta Goal(cancer control,preservation of continence and preservation of sexuality)better.By reviewing and summarizing experiences on different surgical approaches,this article hopes to provide some references for urologists on choosing different surgical approaches in performing radical prostatectomy.

关 键 词：前列腺癌 根治性前列腺切除术 手术入路 加速康复外科 微创手术 机器人辅助手术 

分 类 号：R608[医药卫生—外科学] R697.3[医药卫生—临床医学] R493