机器人辅助腹腔镜治疗上尿路尿路上皮癌专家共识  

Expert consensus on robot-assisted laparoscopic nephroureterectomy for upper tract urothelialcarcinoma

作　　者：丁国庆[1] 王平[2] 叶烈夫[3] 刘志宇[4] 刘久敏[5] 祁小龙[6] 李学松[7] 陈明 陈立军 张雪培[10] 经霄[11] 周逢海 俞世成[1] 高逢彬 黄吉炜[13] 傅斌[14] Ding Guoqing;Wang Ping;Ye Liefu;Liu Zhiyu;Liu Jiumin;Qi Xiaolong;Li Xuesong;Chen Ming;Chen Lijun;Zhang Xuepei;Jing Xiao;Zhou Fenghai;Yu Shicheng;Gao Fengbin;Huang Jiwei;Fu bin(Department of Urology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine.Hangzhou 310020,China;Department of Urology,the First Affiliated Hospital,Zhejiang University School of Medicine.Hangzhou 311121,China;Department of Urology,Fujian Provincial Hospital,Fuzhou 350001,China;Department of Urology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116023,China;Department of Urology,Guangdong Provincial People’s Hospital,Guangzhou 510080,China;Department of Urology,Zhejiang Provincial People’s Hospital,Hangzhou 310014,China;Department of Urology,Peking University First Hospital,Beijing 100034,China;Department of Urology,Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of Urology,the 5th Medical Center,PLA General Hospital,Beijing 100166,China;Department of Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Urology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Urology,Gansu Provincial People’s Hospital,Lanzhou 730099,China;Department of Urology,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200120,China;Department of Urology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院泌尿外科,杭州310020 [2]浙江大学医学院附属第一医院泌尿外科,杭州311121 [3]福建省立医院泌尿外科,福州350001 [4]大连医科大学第二附属医院泌尿外科,大连116023 [5]广东省人民医院泌尿外科,广州510080 [6]浙江省人民医院泌尿外科,杭州310014 [7]北京大学第一医院泌尿外科,北京100034 [8]东南大学附属中大医院泌尿外科,南京210009 [9]中国人民解放军总医院第五医学中心泌尿外科,北京100166 [10]郑州大学第一附属医院泌尿外科,郑州450052 [11]浙江大学医学院附属第二医院泌尿外科,杭州310009 [12]甘肃省人民医院泌尿外科,兰州730099 [13]上海交通大学医学院附属仁济医院泌尿外科,上海200120 [14]南昌大学第一附属医院泌尿外科,南昌330006

出　　处：《微创泌尿外科杂志》2024年第2期87-92,共6页Journal of Minimally Invasive Urology

摘　　要：目前,肾输尿管全长切除联合膀胱袖状切除术是治疗上尿路尿路上皮癌的金标准。机器人辅助腹腔镜技术因其突出的优势正在被越来越多的泌尿外科医师用于上尿路尿路上皮癌的手术治疗。机器人辅助腹腔镜肾输尿管根治性切除术(RARNU)在患者体位及机器人锚定方面经历了多个阶段的探索和演变后,单一体位单次锚定的手术术式正变得越来越成熟。此外,RARNU在肿瘤控制、手术安全性和有效性方面同样有较为出色的表现。本共识主要聚焦RARNU的适应证、常用手术方式及围手术期注意事项等。Currently,radical nephroureterectomy and bladder cuff excision is the gold standard for upper tract urothelial carcinoma.Robot-assisted laparoscopic surgery is increasingly being used by urologists for the surgical treatment of upper tract urothelial carcinoma due to its outstanding advantages.Robot-assisted laparoscopic nephroureterectomy(RARNU)has undergone multiple stages of exploration and evolution in patient positioning and robot docking,and the surgical approach of single position and single docking is becoming mature gradually.In addition,RAR‐NU also has excellent performance in tumor control,surgical safety,and effectiveness.This consensus mainly focuses on the indications,common surgical approaches,and perioperative precautions of RARNU.

关 键 词：肾输尿管切除术 机器人外科手术 上尿路尿路上皮癌 

分 类 号：R737.1[医药卫生—肿瘤]