国产机器人根治性膀胱切除全腔内尿流改道术初步经验  

Preliminary experience of domestic robot in performing robot-assisted radical cystectomy with intracorporeal urinary diversion

作　　者：叶孙益[1] 宋立德 朱意[1] 张耀 何安邦 姚晓霖[1] 景泰乐[1] 彭鼎 王平[1] 汪朔[1] 夏丹[1] YE Sunyi;SONG Lide;ZHU Yi;ZHANG Yao;HE Anbang;YAO Xiaolin;JING Taile;PENG Ding;WANG Ping;WANG Shuo;XIA Dan(Department of Urology,Yuhang Campus,First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,311100,China;Department of Urology,Zhuji People's Hospital,Zhejiang Province)

机构地区：[1]浙江大学医学院附属第一医院余杭院区泌尿外科,杭州311100 [2]浙江省诸暨市人民医院泌尿外科

出　　处：《临床泌尿外科杂志》2025年第1期43-46,52,共5页Journal of Clinical Urology

基　　金：浙江省科技计划项目(No:2024C03198)。

摘　　要：目的:评价国产图迈机器人在高级别尿路上皮癌患者中进行机器人辅助根治性膀胱切除术和体腔内尿流改道术中的有效性和安全性。方法:纳入2022年10月—2023年5月在浙江大学医学院附属第一医院接受机器人辅助根治性膀胱切除术和体腔内尿流改道术3例患者,其中女1例,男2例,年龄57~70岁。手术包括根治性膀胱切除术和原位回肠新膀胱构建术。结果:所有患者手术均成功,无并发症发生。患者术后状态良好,恢复基本尿控,对整体健康和生活质量满意度较高。国产图迈机器人通过优化人体工程学、增强视觉、降低成本和增加多功能性,使外科医生能够以更高的精确度、准确性和安全性进行手术。结论:国产图迈机器人是未来泌尿外科机器人手术的一个很有前景的工具,具有一定进行远程5G手术的优势和能力。研究结果提示,对于高级别尿路上皮癌患者,机器人辅助体腔内尿流改道术是一种安全有效的治疗选择。Objective:To evaluate the effectiveness and safety of the Toumai robot in performing robot-assisted radical cystectomy with intracorporeal urinary diversion in patients with high-grade urothelial carcinoma.Methods:From Oct.2022 to May 2023,three patients were included,one female and two males aged between 57 and 70,and underwent robot-assisted radical cystectomy with intracorporeal urinary diversion using the Toumai robot.The surgery involved the radical excision of the bladder and the construction of an in situ ileal neobladder.Results:All surgeries were successful with no complications.The patients had favorable postoperative recovery,regaining basic urinary control,and reporting high levels of satisfaction with their urinary control,as well as their overall health and well-being.The Toumai robot demonstrated improved ergonomics,enhanced vision,reduced costs,and increased versatility,allowing the surgeon to perform surgeries with high precision,accuracy,and safety.Conclusion:The Toumai robot is a promising tool for the future of robotic urologic surgery,offering several advantages and the capability of performing remote 5G surgery.The study results suggest that robot-assisted radical cystectomy with intracorporeal urinary diversion using the Toumai robot can be a safe and effective treatment option for patients with high-grade urothelial carcinoma.

关 键 词：膀胱癌 国产图迈 体腔内尿流改道术 机器人手术 根治性膀胱切除术 

分 类 号：R737.14[医药卫生—肿瘤]