达芬奇机器人辅助腹腔镜泌尿外科手术500例回顾性分析

Retrospective analysis of 500 cases of Da Vinci robot-assisted laparoscopic urological surgeries

目的:针对安徽医科大学第一附属医院泌尿外科500例达芬奇机器人辅助腹腔镜手术治疗效果进行汇总,并总结其临床经验。方法:2014年9月~2017年6月,共完成达芬奇机器人辅助腹腔镜手术500例,其中包括前列腺癌根治术203例,肾部分切除术132例,肾盂输尿管成形术45例,肾癌根治术39例,肾上腺肿瘤切除术46例,膀胱癌根治术17例等。结果:除2例保留肾单位部分切除术(NSS)和2例巨大肾上腺肿瘤切除术中转为开放手术外,其余手术均获得成功,术后恢复良好,均顺利出院。结论:机器人辅助腹腔镜手术具有解剖层次清晰、操作精细的图特点,适用于绝大多数的泌尿外科手术。

Objective:To summarize the results and experience of 500 cases of urological Da Vinci robot-assisted laparoscopic surgeries from our department.Methods:From September 2014 to June 2017,500 cases of urological robot-assisted laparoscopic surgeries were performed in our department,including 203 radical prostatectomies,132 partial nephrectomies,45 pyeloureteroplasties,39 radical nephrectomies,46 adrenalectomies and 17 radical cystectomies.Results:Except 2 cases of nephron sparing surgery(NSS)and 2 cases of giant adrenalectomy resection surgery,the remaining surgeries were successful,and all the patients were discharged with good recovery.Conclusions:Robot-assisted laparoscopic surgery can reveal a clear and well-functioning anatomy and is suitable for the vast majority of urological procedures.