不同入路单孔机器人辅助下根治性前列腺切除术的应用现状

Current status of single-port robot-assisted laparoscopic radical prostatectomy under different approaches

前列腺癌在男性人群中发病率较高,根治性手术是局限性前列腺癌治疗的主要手段。随着机器人手术技术的发展,机器人辅助前列腺癌根治术在减少术中出血、降低手术并发症发生率及改善术后生活质量等方面展现出了一定的优势。借助于机器人手术系统高度灵活的器械和3D高清视野,单孔机器人在前列腺癌根治术中的应用不断深入。单孔机器人辅助下前列腺癌根治术的手术入路主要有4种,分别为经腹腔入路、腹膜外入路、经膀胱入路和经会阴入路。本文就不同入路单孔机器人辅助下根治性前列腺切除术的效果进行综述。

Prostate cancer is very common in men,and radical prostatectomy is the primary treatment for locally advanced prostate cancer.Robot-assisted radical prostatectomy has advantages of lower blood loss,fewer complications,and better quality of life after surgery.Due to high flexibility and magnified 3D vision of robotic surgical system,single-port robotassisted radical prostatectomy is increasingly used in recent years.There are mainly four surgical approaches for single-port robot-assisted radical prostatectomy:transperitoneal,extraperitoneal,transapical and perineal approach.The current status of single-port robot-assisted laparoscopic radical prostatectomy under different approaches was reviewed in this paper.