机器人辅助腹腔镜改良“一体位”治疗上尿路尿路上皮癌的短期疗效

Short-term efficacy of robot-assisted laparoscopy with modified single-docking technique for upper tract urothelial carcinoma

目的:探讨机器人辅助腹腔镜改良“一体位”根治性肾输尿管切除术及膀胱袖套状切除术治疗上尿路尿路上皮癌(Upper Tract Urothelial Carcinoma,UTUC)的安全性和可行性。方法:回顾性分析2021年1月—2021年12月哈尔滨医科大学附属第一医院行RARNU术7例患者的临床资料,并观察所有患者的围手术期数据和病理结果。结果:所有患者手术均顺利完成,无围手术期并发症发生。7例患者手术时间为235.0(203.5~322.5)min,术中出血量为30.0(25.0~50.0)ml,平均随访时间为4.3个月,无复发及转移病例。所有患者术后病理诊断均为UTUC,无切缘阳性,病理分期数据显示:4例患者为T_(3)期,1例患者为T_(1)期,1例患者为T_(2)期,1例患者为T_(4)期。结论:机器人辅助腹腔镜改良“一体位”治疗UTUC的短期疗效是安全、可行的,但其远期疗效有待进一步证实。

Objective:To evaluate the safety and feasibility of single-docking robot-assisted radical nephroureterectomy with bladder cuff excision in the treatment of upper tract urothelial carcinoma(UTUC).Methods:Clinical data of 7 patients who underwent robot-assisted radical nephroureterectomy(RARNU)in the First Affiliated Hospital of Harbin Medical University from January 2021 to December 2021 was retrospectively analyzed,and the perioperative data and pathological results of patients were collected and analyzed.Results:All surgeries were successfully completed without perioperative complications.The median operative time of 7 patients was 235.0(203.5-322.5)min,with a median intraoperative bleeding volume of 30.0(25.0-50.0)ml.The average follow-up period after surgery was 4.3 months,and no recurrence or metastasis was found in the follow-up.All patients were pathologically diagnosed as UTUC after surgery.No positive margin was found.Pathological staging data indicated that 4 patients were stage T_(3),1 patient was stage T_(1),1 patient was stage T_(2),and 1 patient was stage T_(4).Conclusion:Robotassisted laparoscopy with modified single-docking technique for UTUC is safe and feasible.However,further studies should be performed to confirm its long-term efficacy.