机器人辅助腹腔镜与腹腔镜前列腺癌根治术的疗效比较

Robot-assisted laparoscopic prostatectomy versus laparoscopic radical prostatectomy for the management of prostate cancer

目的：分析比较机器人辅助腹腔镜与腹腔镜前列腺癌根治术治疗前列腺癌的效果,并探讨机器人辅助腹腔镜前列腺癌根治术的临床应用价值。方法：将2011年05月～2014年02月收治的38例前列腺癌患者作为机器人辅助腹腔镜手术组,以同期行腹腔镜前列腺癌根治术的32例患者为腹腔镜手术组。观察比较手术时间、术中出血量、术中输血率、术后引流管留置时间、术后住院时间、切缘阳性率、生化复发以及随访尿控及性功能情况。结果：两组均成功完成手术,机器人辅助腹腔镜手术组在术中出血量、术中输血率、术后引流管留置时间、术后住院时间、尿控及性功能保留方面均优于腹腔镜手术组,差异具有显著性（P〈0.05）。结论：机器人辅助腹腔镜前列腺癌根治术手术并发症少,术后尿控及性功能保留良好,是治疗前列腺癌安全、有效的微创术式。

Objective： To compare robot-assisted laparoscopic radical prostatectomy（ RALRP） with laparoscopic radical prostatectomy（ LRP） in the treatment of prostate cancer and investigate the clinical application value of RLRP. Methods： We retrospectively analyzed 70 cases of prostate cancer treated by RALRP and another 32 cases treated by LRP. We compared the operation time,intraoperative blood loss and transfusion,catheter-indwelling time,postoperative hospital stay,incisal margin positive rate,biochemical recurrence,and normal postoperative urinary continence and penile erectile function between the two groups of patients. Results：All the operations were successfully accomplished. RALRP exhibited a significant superiority over LRP in intraoperative blood loss and transfusion,catheter-indwelling time,and postoperative hospital stay,urinary continence and erectile function（P〈0.05）. Conclusion： Robot-assisted laparoscopic radical prostatectomy,with its advantages of few postoperative complications and well-preserved urinary continence and penile erectile function,is an effective,safe and minimally invasive surgical option for prostate cancer.