顺逆结合机器人辅助最大程度保留前列腺周围结构的根治性前列腺切除术(附手术视频)  

Combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures(with surgical video)

作　　者：吴清剑 罗兴 周韬 何凡 朱景振 赵江 贾维胜 方针强 郑霁 WU Qingjian;LUO Xing;ZHOU Tao;HE Fan;ZHU Jingzhen;ZHAO Jiang;JIA Weisheng;FANG Zhenqiang;ZHENG Ji(Department of Urology,the Second Affiliated Hospital of Army Medical University,Chongqing 400037,China)

机构地区：[1]陆军军医大学第二附属医院泌尿外科,重庆400037

出　　处：《机器人外科学杂志（中英文）》2024年第4期526-530,共5页Chinese Journal of Robotic Surgery

基　　金：陆军军医大学临床重大领域技术创新项目(CX2019LC107);陆军军医大学第二附属医院青年博士人才孵化计划(2022YQB047)。

摘　　要：目的:分析顺逆结合机器人辅助最大程度保留前列腺周围结构的根治性前列腺切除术的临床应用价值。方法:通过检索国内外相关文献,系统阐述前列腺周围重要解剖结构及其作用,总结顺逆结合机器人辅助最大程度保留前列腺周围结构的相关技术。结果:神经血管束、阴部副动脉、背血管复合体,以及前列腺周围相关支持结构如耻骨前列腺韧带、盆侧筋膜腱弓等对患者术后的尿控和性功能恢复具有重要作用。结论:顺逆结合机器人辅助最大程度保留前列腺周围结构的根治性前列腺切除术在保护患者尿控、性功能等方面具有较好的效果,在临床应用中具有一定优势。Objective:To analyze the clinical application value of the combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures.Methods:By searching relevant literatures at home and abroad,the important anatomical structures and their functions around the prostate were systematically expounded,and the related technologies of combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures were summarized.Results:Neurovascular bundle,accessory pudendal arteries,dorsal vascular complex,and periprostatic supporting structures around the prostate(such as puboprostatic ligament,tendinous arch of pelvic fascia,etc.)play an important role in postoperative recovery of urinary continence and sexual function.Conclusion:The combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures has shown favorable results in terms of urinary continence and sexual function,which has certain advantages in clinical application.

关 键 词：机器人辅助手术 根治性前列腺切除术 周围结构 

分 类 号：R737.25[医药卫生—肿瘤]