机器人全腔内Studer原位新膀胱术(“大家泌尿网”观看手术视频)

Robotic intracorporeal Studer orthotopic neobladder

根治性膀胱切除术(RC)加尿流改道术是治疗肌层浸润性膀胱癌及高危非肌层浸润性膀胱癌等的主要手术方式。近些年,随着机器人手术技术的发展,以及人们对于微创技术和康复理念的深入理解,全腔内尿流改道术的应用越来越广,主流的方式包括全腔内回肠通道术和全腔内Studer原位新膀胱术,该技术安全可行,并且后者经过康复锻炼控尿满意,疗效良好,患者的生活质量得到改善,充分体现了机器人手术系统的优势,但同时也对术者提出了较高的要求。全腔内尿流改道技术适应了微创时代的大潮流,值得推广和使用。

Radical cystectomy combined with urinary diversion is the main treatment of muscular-invasive bladder cancer,high-risk non-muscular-invasive bladder cancer and so on.In recent years,with the development of robotic surgical technology and a better understanding of minimally invasive techniques and rehabilitation,intracorporeal urinary diversion has been widely used.The mainstream approach includes ileal conduit and intracorporeal Studer orthotopic neobladder.Studer orthotopic neobladder can yield satisfactory urinary continence and greatly improve patients quality of life,fully embodying the advantages of robotic surgical system but setting higher standards for surgeons.Intracorporeal urinary diversion adapts to the trend of minimally invasive surgery and is worth popularizing.