机器人辅助腹腔镜在肾上腺手术的应用研究进展  

Progress in the application of robot assisted laparoscopic surgery in adrenal surgery

作　　者：周利群[1] 张争[1] 韩文聪 陈仕炜 ZHOU Liqun;ZHANG Zheng;HAN Wencong;CHEN Shiwei(Department of Urology,Peking University First Hospital,Institution of Urology,Peking University,Beijing Key Laboratory of Urogenital DiseasesMolecular Diagnosis and Treatment Center,National Urological Cancer Center,Beijing,100034,China)

机构地区：[1]北京大学第一医院泌尿外科、北京大学泌尿外科研究所、泌尿生殖系疾病(男)分子诊治北京市重点实验室、国家泌尿男生殖系肿瘤研究中心,北京100034

出　　处：《临床泌尿外科杂志》2023年第11期807-809,共3页Journal of Clinical Urology

摘　　要：随着达芬奇手术机器人在泌尿外科领域的广泛应用,机器人辅助腹腔镜下肾上腺切除术(robot assisted laparoscopic adrenalectomy,RALA)已成为肾上腺手术的可选方案之一。尽管对于直径较大、血供丰富、肿瘤边界不清等复杂的肾上腺肿瘤,RALA在肿瘤分离、止血、视野暴露等方面显示出明显优势,但学界对不同类型的肾上腺肿瘤在手术适应证选择和治疗效果方面仍存争议。本文就RALA在肾上腺手术的应用进展作一述评。With the widespread application of the Da Vinci surgical robot in the field of urology,robot assisted laparoscopic adrenalectomy(RALA)has become one of the optional schemes for adrenal surgery.Although RALA shows obvious advantages in tumor separation,hemostasis,and exposure for complex adrenal tumors with large diameters,rich blood supply,and unclear tumor boundaries,there is still debate in the academia about the selection of surgical indications and treatment effects for different types of adrenal tumors.This article reviews the progress of RALA in adrenal surgery.

关 键 词：机器人辅助腹腔镜下肾上腺切除术 肾上腺皮质癌 嗜铬细胞瘤 

分 类 号：R736.6[医药卫生—肿瘤]