机器人辅助腹腔镜肾部分切除术治疗肾血管平滑肌脂肪瘤单中心5年经验

Robotic-assisted laparoscopic partial nephrectomy in the treatment of renal angiomyolipoma:five-year experience of single center

目的:评估机器人辅助腹腔镜肾部分切除术治疗肾血管平滑肌脂肪瘤的有效性与安全性。方法:回顾性分析2016年1月至2021年6月浙江大学医学院附属第一医院泌尿外科收治的207例肾血管平滑肌脂肪瘤患者的临床资料。结果:所有患者均成功实施机器人辅助腹腔镜肾部分切除术,未有中转开放者;经腹入路51例,占24.6%,经腰入路156例,占75.4%;平均手术时间(96.0±26.9)min;平均术中出血量(137.3±26.9)ml;平均肾动脉血流阻断时间(18.6±3.9)min;平均术后住院时间(5.7±1.2)d;术后随访1~60个月,平均23.9个月,所有病例均未见肿瘤复发。结论:机器人辅助腹腔镜肾部分切除术治疗肾血管平滑肌脂肪瘤安全、有效。

Objective:To evaluate the efficacy and safety of robotic-assisted laparoscopic partial nephrectomy in the treatment of renal angiomyolipoma.Methods:The clinical data of 207 cases of renal angiomyolipoma in the Urology Department,The First Affiliated Hospital,Zhejiang University School of Medicine from January 2016 to June 2021 were analyzed retrospectively.Results:All 207 cases received robotic-assisted laparoscopic partial nephrectomy successfully with no conversion to open surgery;51(24.6%)cases were operated via transabdominal approach and 156(75.4%)cases were operated via retroperitoneal approach.The average operation time was(96.0±26.9)min;the average amount of intraoperative bleeding was(137.3±26.9)ml;the average renal artery occlusion time was(18.6±3.9)min;the average postoperative hospitalization was(5.7±1.2)d.The cases were followed up for 1~60 months with average 23.9 months,and no tumor recurrence was found.Conclusion:Robotic-assisted laparoscopic partial nephrectomy is safe and effective in the treatment of renal angiomyolipoma.