Abstract：Objective: To compare the treatment experience between conventional laparoscopy with robot-assisted laparoscopy (da Vinci Si System) for partial nephrectomy through retroperitoneal approach, and discuss curative effect and advantages of robotic system. Methods: Between May 2012 and August 2013, 3 patients with renal tumor were performed robotic-assisted laproscopic partial nephrectomy(RALPN). During the same period, 3 patients with renal tumor were performed conventional laparoscopic partial nephrectomy(LPN). Results: All procedures were performed successfully. The operative time for RALPN was 110-180 minutes (mean 145 minutes);blood loss was 50-100 mL, drain removal time was 2-3 days. The hospital stay was 8-10 days with 3 days of immobilization. Radiological examination found no local residual tumor,and the postoperative serum creatinine level was norma1 two weeks after operation. The operative time for conventional LPN was 120-200 minutes (mean 160 minutes);blood loss was 80-150 mL, drain removal time was 3-4 days. The hospital stay was 9-12 days with 4-5 days of immobilization. Radiological examination found no local residual tumor,and the postoperative serum creatinine level was norma1 two weeks after operation. Conclusions: RALPN through retroperitoneal approach could reduce the suturing time and blood loss and has the merits of small wound and early recovery than conventional LPN.
刘宇保, 俞能旺, 宋华, 沈弋祯, 张爱民. 经后腹腔途径行机器人辅助腹腔镜与传统腹腔镜下肾部分切除术的比较研究[J]. 微创泌尿外科杂志, 2016, 0(2012～2016 机器人选集(1)): 18-21.
Liu Yubao, Yu Nengwang, Song Hua, Shen Yizhen, Zhang Aimin. The comparative research between robot-assisted laparoscopy and conventional Laparoscopy for partial nephrectomy through retroperitoneal approach. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 0(2012～2016 机器人选集(1)): 18-21.
