机器人辅助腹腔镜前列腺癌根治术的初步应用

Preliminary clinical application of robot assisted radical prostatectomy

目的探讨机器人辅助腹腔镜前列腺癌根治术（RARP）的初步应用。方法回顾分析2014年9月至2015年2月,经腹途径机器人（达芬奇外科手术系统）辅助腹腔镜前列腺癌根治术51例患者的临床资料。结果 51例手术均获成功,无机械故障或出血等因素导致术式改变。完成手术时间115~330 min,平均（162±21）min;术中出血量120~600 ml,平均（174±32）ml,1例术后输血400 ml;术后肠道通气嘱进食时间2~3 d,平均（2±1）d;术后住院日5~11 d,平均（7±2）d;术后拔除导尿管时间7~21 d,平均（10±3）d。结论 RARP利于术者掌控及把握,具有创伤小、出血少、清扫淋巴结彻底、术后恢复快等优势,是治疗前列腺癌安全、有效和可靠的方法。

Objective To investigate the feasibility and experiences of robot assisted radical prostatectomy（RARP）.Methods The clinical data of 51 patients who had underwent robot assisted radical prostatectomy（ Da Vinci Si Surgical System） from September 2014 to February 2015 were analyzed retrospectively.Results All the operations were successfully completed.The operating time was 115~330 min（mean,162±21 min） and the estimated blood loss was 120~600 ml（mean,174±32 ml）.One patient required blood transfusion（ 400 ml） after the operation.The postoperative duration of gastrointestinal ventilation was 2~3 days（mean,2±1 days）.The postoperative hospital stay was 5~11 days（mean,7±2 days）and the catheterization time was 7~21 days（mean,10±3 days）.Conclusions RARP has the advantages of minimal invasion,less blood loss,thorough cleaning of pelvic lymph nodes and short postoperative recovery time.RARP is a safe,effective and reliable method to treat prostate cancer and worth to be popularized.