机器人辅助腹腔镜下膀胱后入路前列腺癌根治术的优势及进展

Advantages and progress of robot assisted laparoscopic prostatectomy via posterior approach

前列腺癌根治术是治疗局限性前列腺癌最有效的方法,传统的机器人辅助腹腔镜下前列腺癌根治术手术入路有损伤前列腺周围结构的风险,从而影响术后尿控和勃起功能的恢复,意大利学者Galfano教授于2010年率先提出了Bocciardi入路的新术式(也称膀胱后入路),该入路位于前列腺后方平面,是一种完全的筋膜内技术,最大程度地保留了前列腺周围的组织结构,本文对该技术的优势和进展进行综述。

Radical prostatectomy is the most effective treatment for localized prostate cancer.Traditional robot assisted laparoscopic radical prostatectomy often injures the periurethral structures of the prostate,then affects postoperative urinary continence and erectile function recovery.In 2010,Prof.Galfano from Italy firstly proposed a new surgical technique named the Bocciardi approach（also referred to as bladder posterior approach）.This approach is a complete intrafascial technique and preserves most of the periurethral structures around the prostate.We aim to review the advantages and progress of the technique in this article.