机器人辅助腹腔镜前列腺单纯切除术治疗大体积(>80 ml)良性前列腺增生的安全性与疗效分析

doi:10.19558/j.cnki.10-1020/r.2018.06.001

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摘要目的探讨机器人辅助腹腔镜前列腺单纯切除术(RASP)治疗大体积(>80 ml)BPH的安全性与疗效。方法回顾性分析2017年4月~2018年4月接受RASP的12例大体积BPH患者的手术时间、术中出血量、导尿管及引流管留置时间、术后住院时间、并发症及随访资料,分析RASP的安全性及疗效。结果 12例手术均获成功。手术时间(158.5±28.2)min,术中出血量(147.5±57.5)ml。术后导尿管留置时间(5.6±0.9)d,引流管留置时间(4.3±1.0)d,术后住院时间(6.3±0.6)d。1例患者因术中出血输血治疗,其余患者无并发症发生。术后3个月复查Q_max、PVR、IPSS、QOL较术前显著改善。结论 RASP是治疗大体积前列腺增生安全、有效的手术方式。

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关键词 ：机器人手术, 前列腺单纯切除术, 良性前列腺增生

Abstract：Objective: To evaluate the safety and efficacy of robot assisted simple prostatectomy (RASP) in the treatment of large volume (>80 mL) benign prostate hyperplasia (BPH). Methods: From April 2017 to April 2018, 12 patients with large volume BPH undergoing RASP were retrospectively reviewed. Operation time, blood loss, catheterization time, drainage time, post-operative hospital stay, complications and follow-up data were documented and analyzed. Results: All operations were successfully performed. The mean operation time was (158.5±28.2) min, estimated blood loss was (147.5±57.5) mL. Catheterization time was (5.6±0.9) days, drainage time was (4.3±1.0) days, and post-operative hospital stay was (6.3±0.6) days. One patient needed transfusion during operation. No complications occurred. Q_max, PVR, IPSS and QOL at 3rd month post-operation were significantly improved compared to those pre-operation. Conclusions: RASP is a safe and efficient procedure for treatment of large volume BPH.

Key words： robotic surgery simple prostatectomy benign prostate hyperplasia

收稿日期: 2018-07-25

ZTFLH:

R697

基金资助:国家自然科学基金青年科学基金资助项目(81400701)

通讯作者: 艾星,aixing0007@163.com

引用本文:

滕竞飞, 贾卓敏, 关亚伟, 高峰, 李志辉, 艾星. 机器人辅助腹腔镜前列腺单纯切除术治疗大体积(>80 ml)良性前列腺增生的安全性与疗效分析[J]. 微创泌尿外科杂志, 2018, 7(6): 361-365.
Teng Jingfei, Jia Zhuomin, Guan Yawei, Gao Feng, Li Zhihui, Ai Xing. Safety and efficacy of robot assisted simple prostatectomy in the treatment of large volume (>80 mL) benign prostate hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(6): 361-365.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1453.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2018/V7/I6/361

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