机器人辅助腹腔镜技术应用于高危上尿路尿路上皮癌治疗的研究进展  

Research progress of robot-assisted laparoscopic technology in the treatment of high-risk upper tract urothelial carcinoma

作　　者：续万荣 尚攀峰[1] 康子明 XU Wanrong;SHANG Panfeng;KANG Ziming(Department of Urology,Second Hospital of Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院泌尿外科,甘肃兰州730030

出　　处：《机器人外科学杂志(中英文)》2025年第3期508-513,共6页Chinese Journal of Robotic Surgery

基　　金：兰州大学医学教育创新发展项目(lzuyxcx-2022-106);萃英科技创新计划项目(CY2021-MS-B16)。

摘　　要：上尿路尿路上皮癌(UTUC)是一种少见的恶性肿瘤,依据危险程度分为高危和低危两组。高危UTUC的标准治疗为根治性肾输尿管切除术,目前主要在腹腔镜下进行。随着机器人辅助腹腔镜技术深入应用于泌尿外科领域,机器人辅助肾输尿管切除术(RANU)的开展受到泌尿外科医师的广泛关注。本文聚焦于目前机器人辅助腹腔镜技术在高危UTUC的应用现状,手术技术包括不同入路下患者体位及机械臂套管布置,膀胱袖状切除及重建,淋巴结清扫,以及术后的围手术期指标和肿瘤学疗效等方面作一综述。Upper tract urothelial carcinoma(UTUC)is a rare malignant tumor,which can be divided into the high-risk and low-risk groups according to the degree of risk.The standard treatment for high-risk UTUC is radical nephroureterectomy(RNU),which is currently performed primarily under laparoscope.With the in-depth application of robot-assisted laparoscopic technology in the field of urology,the development of robot-assisted RNU has received extensive attention from urologists.The current application status of robot-assisted laparoscopic technology in high-risk UTUC,including patient position and Trocar placement under different approaches,bladder sleeve resection and reconstruction,lymph node dissection,as well as postoperative perioperative indicators and oncological efficacy were reviewed in this paper.

关 键 词：上尿路尿路上皮癌 机器人辅助手术 肾输尿管切除术 

分 类 号：R737.1[医药卫生—肿瘤]