机器人辅助肾盂成形术与腹腔镜下肾盂成形术的对比研究  

Comparative study of robotic-assisted pyeloplasty versus laparoscopic pyeloplasty

作　　者：汪仁昊 潘铁军 谢秋波 涂忠 宋健 周宇 伍依依 李杜 Wang Renhao;Pan Tiejun;Xie Qiubo;Tu Zhong;Song Jian;Zhou Yu;Wu Yiyi;Li Du(The Graduate Student Joint Training Base,the Central Theater Command General Hospital of Wuhan University of Science and Technology,Wuhan 430070,China;Medical College,Wuhan University of Science and Technology,Wuhan 430065,China;Department of Urology,the Central Theater Command General Hospital,Wuhan 430070,China)

机构地区：[1]武汉科技大学中部战区总医院研究生联合培养基地,武汉430070 [2]武汉科技大学医学部医学院,武汉430065 [3]中部战区总医院泌尿外科,武汉430070

出　　处：《国际泌尿系统杂志》2024年第3期503-506,共4页International Journal of Urology and Nephrology

基　　金：武汉市知识创新专项曙光计划项目(2023020201020526)。

摘　　要：目的:探究机器人辅助腹腔镜肾盂成形术在肾盂输尿管连接部梗阻治疗中的优势。方法:回顾性分析2013年12月至2020年12月中部战区总医院泌尿外科收治的56例肾盂输尿管连接部梗阻患者的临床资料,其中30例患者接受机器人辅助腹腔镜肾盂成形术(机器人组),26例患者接受腹腔镜肾盂成形术(腹腔镜组)。对比分析两组患者的临床资料。结果:两组手术均成功完成,均无转开放手术患者。机器人组的术中出血量、手术时间、引流管留置时间、术后住院时间、术后下床时间少于腹腔镜组,差异均有统计学意义(均P<0.05)。两组患者术后1年患侧肾功能较术前有明显改善,差异有统计学意义(P<0.05)。结论:与腹腔镜肾盂成形术比较,机器人辅助腹腔镜肾盂成形术的手术时间更短、术后出血量更少、术后恢复更快,更加安全可行,值得临床推广。Objective To explore the advantages of robot-assisted laparoscopic pyeloplasty in the treatment of ureteral junction obstruction.Methods A retrospective analysis was performed for the clinical data of 56 patients with ureteral junction obstruction admitted to the Department of Urology,Central Theater Command General Hospital from December 2013 to December 2020,of which 30 patients underwent robotic-assisted laparoscopic pyeoplasty and 26 patients underwent laparoscopic pyeloplasty.The clinical data of the two groups of patients were compared and analyzed.Results The operation was successfully completed in both groups,and no patients were transferred to open surgery.The intraoperative blood loss of the robot group was lower than that of the laparoscopic group,and the operation time,drainage tube indwelling time,postoperative hospital stay,and postoperative patient getting out of bed time were shorter than that of the laparoscopic group,and the difference was statistically significant(all P<0.05).The renal function on the affected side of the two groups was significantly improved one year after surgery,and the differences were statistically significant(P<0.05).Conclusions Compared with laparoscopic pyeloplasty,robot-assisted laparoscopic pyeloplasty has shorter operation time,less postoperative bleeding,faster postoperative recovery,more safe and feasible,and is worthy of clinical promotion.

关 键 词：腹腔镜检查 肾盂成形术 机器人手术 肾盂输尿管连接部梗阻 

分 类 号：R699.2[医药卫生—泌尿科学]