国产图迈机器人在腹腔镜根治性前列腺切除术的应用研究  

Application of China-made Toumai Robot in laparoscopic radical prostatectomy

作　　者：位志峰 陈宇豪 朱泽鹏 蒋齐 熊宇 陆烽烽 宋震乾 江斌[1] 朱晓峰 冯天昊 徐晓峰 杨刚[3] 魏武 姚爱兵 葛京平 WEI Zhi-feng;CHEN Yu-hao;ZHU Ze-peng;JIANG Qi;XIONG Yu;LU Feng-feng;SONG Zhen-qian;JIANG Bin;ZHU Xiao-feng;FENG Tian-hao;XU Xiao-feng;YANG Gang;WEI Wu;YAO Ai-bing;GE Jing-ping(Department of Urology,The Fourth Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210000,China;Department of Urology,General Hospital of Eastern Theater Command,Nanjing,Jiangsu 210002,China;Department of Urology,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210000,China)

机构地区：[1]南京医科大学第四附属医院泌尿外科,江苏南京210000 [2]东部战区总医院泌尿外科,江苏南京210002 [3]南京中医药大学附属南京市中医院泌尿外科,江苏南京210000

出　　处：《中华男科学杂志》2024年第8期696-700,共5页National Journal of Andrology

基　　金：国家自然科学基金(81972841)。

摘　　要：目的:使用国产图迈机器人行腹腔镜根治性前列腺切除手术,观察其安全性及使用效果。方法:收集2023年1月至2023年5月前列腺癌患者40例,患者均行机器人辅助腹腔镜根治性前列腺切除术,采取保留膀胱颈和最大长度功能性尿道的手术方法。按使用机器人系统不同,分为观察组(图迈机器人组)和对照组(达芬奇机器人组),观察机械臂安装时间、腔内手术时间、尿道吻合时间、术中出血量、术后尿控等指标。结果:所有患者均顺利完成手术,观察组和对照组机械臂中位安装时间分别为6 min vs 5 min(P>0.05),腔内手术中位时间分别为146 min vs 130 min(P<0.05),尿道吻合中位时间分别为19 min vs 16 min(P<0.05),术中中位出血量分别为200 ml vs 150 ml(P>0.05)。术后即刻、1个月、3个月、6个月尿控恢复率分别为9/15(60.0%)vs 16/25(64.0%)、12/15(80.0%)vs 19/25(76.0%)、14/15(93.3%)vs 23/25(92.0%),15/15(100%)vs 24/25(96%),两组比较无显著差异(P>0.05)。结论:国产图迈机器人系统行腹腔镜根治性前列腺切除手术安全可靠,术后尿控效果满意。Objective:To evaluate the safety and efficiency of China-made Toumai Robot-assisted laparoscopic radical prostatectomy(LRP).Methods:This study included 40 cases of PCa treated from January 2023 to May 2023 by robot-assisted LRP with preservation of the bladder neck and maximal functional urethral length,15 cases with the assistance of Toumai Robot(the TMR group)and the other 25 with the assistance of da Vinci Robot as controls(the DVR group).We recorded the docking time,laparoscopic surgery time,vesico-urethral anastomosis time,intraoperative blood loss and postoperative urinary continence,and compared them between the two groups.Results:Operations were successfully completed in all the cases.No statistically significant differences were observed between the TMR and DVR groups in the docking time(6 min vs 5 min,P>0.05)or intraoperative blood loss(200 ml vs 150 ml,P>0.05).The TMR group,compared with the DVR group,showed a significantly longer median laparoscopic surgery time(146 min vs 130 min,P<0.05)and median vesico-urethral anastomosis time(19 min vs 16 min,P<0.05).There were no statistically significant differences between the TMR and DVR groups in the rates of urinary continence recovery immediately after surgery(60.0%[9/15]vs 64.0%[16/25],P>0.05)or at 1 month(80.0%[12/15])vs(76.0%[19/25],P>0.05),3 months(93.3%[14/15])vs(92.0%[23/25],P>0.05)and 6 months postoperatively(100%[15/15])vs(96%[24/25],P>0.05).Conclusion:China-made Toumai Robot surgical system is safe and reliable for laparoscopic radical prostatectomy,with satisfactory postoperative recovery of urinary continence.

关 键 词：机器人手术 前列腺癌 根治性前列腺切除术 尿控 

分 类 号：R737.25[医药卫生—肿瘤]