机器人辅助腹腔镜输尿管膀胱再植术专家共识

Expert consensus on robot-assisted laparoscopic ureteral reimplantation

输尿管膀胱再植术是治疗输尿管膀胱连接部梗阻(VUJO)的标准术式。2003年,国外首先报道机器人辅助腹腔镜输尿管膀胱再植术(RALUR)。近20年来,RALUR在国内外已经广泛应用。与传统的开放和腹腔镜手术相比,RALUR具有明显的优势,能缩短手术时间,减少围手术期并发症,成为治疗UVJO的新选择。为此本学组召开专家讨论会组织编写了本共识,对RALUR的适应证、常用手术方式、围手术期注意事项等临床应用的关键问题进行了详细阐述。

Ureteral reimplantation is the standard surgical procedure for treating ureterovesical junction obstruction(UVJO).Robot-assisted laparoscopic ureteral replantation(RALUR)was firstly reported in 2003.In the past 20 years,RALUR has been widely used both domestically and internationally.Compared with traditional open and laparoscopic surgeries,RALUR has significant advantages in shortening surgical time,reducing perioperative complications,and becoming a new choice for treating UVJO.For this reason,our study group held an expert discussion and organized the compilation of this consensus,which elaborated on key clinical application issues such as the indications,commonly used surgical methods,and perioperative precautions of RALUR.