全体腔内原位新膀胱重建技术在机器人辅助根治性膀胱切除术中的应用进展  

Research progress of totally intracorporeal orthotopic neobladder reconstruction in robot-assisted radical cystectomy

作　　者：闫兵 陈志文 Yan Bing;Chen Zhiwen(Department of Urology,The First Affiliated Hospital of Army Medical University,Urology Institute of PLA,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院泌尿外科、全军泌尿外科研究所,重庆400038

出　　处：《中华泌尿外科杂志》2024年第11期881-884,共4页Chinese Journal of Urology

摘　　要：随着机器人手术系统的发展,机器人辅助根治性膀胱切除术的应用越来越普及,但是对于膀胱重建环节,大部分术者仍采用经腹部切口的开放体外重建方式。近年来,已有部分医学中心探索机器人辅助全体腔内重建原位新膀胱技术的可行性及安全性。本文通过分析相关重要文献,从开放与全体腔内技术对比、全体腔内重建原位新膀胱技术路线、手术并发症及功能学预后、学习曲线、目前存在的争议及不足等方面对机器人辅助全体腔内原位新膀胱重建技术进行概述。With the development of robotic surgical system,the application of robot-assisted radical cystectomy(RARC)has become more and more popular.However,for neobladder reconstruction phase,most surgeons still use open technique through abdominal incision.In recent years,some institutions have explored the feasibility and safety of total intracorporeal orthotopic neobladder(ICNB).Based on relevant important literatures,this paper reviewed the RARC plus ICNB from the aspects of surgical principle,complications and functional outcomes,learning curve,and existing controversies.

关 键 词：膀胱肿瘤 根治性膀胱切除术 机器人辅助手术 体腔内尿流改道 可控性膀胱 

分 类 号：R737.14[医药卫生—肿瘤]