Abstract:To summarize the clinical experience and efficacies of retroperitoneal approach robot-assisted partial nephrectomy (RPRPN). Methods: Clinical data of 189 patients receiving RPRPN in Chinese PLA General Hospital from December 2013 to December 2015 were retrospectively analyzed. The pre-operation preparation, manipulation of robot and the location of trocars were described. The key operative technique and procedure were shown in videos. Statistical analysis was performed about age, BMI, maximum tumor diameter, tumor site, intraoperative estimated blood loss, warm ischemia time, operatinon time, postoperative tumor margins and complications. Results: All the operations were successfully performed without conversion to open surgery. The mean operative time was (76.13±2.79)(60-105) min. The mean estimated blood loss was (61.14±8.51) (10-130) mL. The mean warm ischemia time was (15.24±0.62) (9-31) min. The mean postoperative drainage time was
吕香君,张旭,马鑫,李宏召,李新涛,艾青,刘启明,黄双. 经后腹腔入路机器人肾部分切除术手术经验和临床疗效总结(附单中心189例病例报道)[J]. 微创泌尿外科杂志, 2016, 5(2): 65-68.
Lyu,Xiangjun,Zhang,Xu,Ma,Xin,Li,HongzhaoLi,Xintao,Ai,Qing,Liu,Qiming,Huang,Shuang. Clinical experience and efficacies of retroperitoneal robotic partial nephrectomy: a single center reports with 189 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 65-68.
[1]Campbell SC, Novick AC, Belldegrun A, et al. Guideline for management of the clinical T1 renal mass. J Urol, 2009,182(4):1271-1219. [2]Scosyrev E, Messing EM, Sylvester R, et al. Renal function after nephron-sparing surgery versus radical nephrectomy: results from EORTC randomized trial 30904. Eur Urol, 2014,65(2):372-377 [3]Zhang X, Li HZ, Ma X, et al. Retroperitoneal laparoscopic nephron-sparing surgery for renal tumors: report of 32 cases. Urology, 2005,65(6):1080-1085. [4]黄双,吕香君,张旭.机器人辅助后腹腔镜肾部分切除术(附21例报道).微创泌尿外科杂志, 2015,4(3):129-132. [5]Patel M, Porter J. Robotic retroperitoneal surgery: a contemporary review. Curr Opin Urol, 2013,23(1):51-56. [6]Choi JE, You JH, Kim DK, et al. Comparison of perioperative outcomes between robotic and laparoscopic partial nephrectomy: a systematic review and meta-analysis. Eur Urol, 2015,67(5):891-901. [7]Hughes-Hallett A, Patki P, Patel N, et al. Robot-assisted partial nephrectomy: a comparison of the transperitoneal and retroperitoneal approaches. J Endourol, 2013,27(7):869-874.