机器人辅助腹腔镜根治性前列腺切除术患者特征及切缘阳性分析

doi:10.19558/j.cnki.10-1020/r.2021.02.007

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摘要 目的： 分析单中心机器人辅助腹腔镜根治性前列腺切除术患者临床特征、术后标本切缘阳性影响因素。方法： 收集2013–2019年行机器人辅助腹腔镜根治性前列腺切除术518例患者的临床资料,分析其临床特征,使用logistic回归分析术后切缘阳性的影响因素。结果： 518例患者平均年龄（67.9±7.3）岁,术前中位总前列腺特异性抗原(TPSA)19.09 μg/L,无症状患者183例（35.3%）,高危患者388例（74.90%）,术后切缘阳性158例（30.5%）。Logistic回归分析显示：术前TPSA、临床分期是术后切缘阳性的危险因素。结论： 近年来,机器人辅助腹腔镜根治性前列腺切除术患者的年龄构成比无明显变化,无症状患者比例逐年增高。术前TPSA、临床分期是切缘阳性的危险因素。

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	范效铮
	权鹏鹤
	张龙龙
	马帅军
	王延柱
	秦卫军
	袁建林
	杨晓剑

关键词 ：前列腺癌, 机器人辅助腹腔镜根治性前列腺切除术, 切缘阳性

Abstract：Objective： To analyze the clinical characteristics and risk factors of positive surgical margin of patients undergoing robot-assisted laparoscopic radical prostatectomy （RARP）. Methods： The clinical data of patients with RARP in our department from January 2013 to December 2019 were collected and retrospectively analyzed. Logistic regression was used to analyze the risk factors of positive surgical margins in postoperative pathology. Results： The average age of 518 patients was （67.9 ± 7.3） years old, the preoperative median of TPSA was 19.09 μg/L, there were 183 asymptomatic patients （35.3%）, 388 high-risk patients （74.90%） and 158 cases of postoperative positive surgical margin （30.5%）. Logistic regression analysis showed that preoperative TPSA and clinical staging were the risk factors for positive surgical margin. Conclusion： In recent years, the age composition ratio of patients with RARP in our hospital has no significant change, and the proportion of asymptomatic patients has increased year by year. Preoperative TPSA and clinical staging were independent risk factors for positive surgical margin after radical prostatectomy.

Key words： prostate cancer robot-assisted laparoscopic radical prostatectomy positive surgical margin

收稿日期: 2020-12-18

通讯作者: 杨晓剑,xiaojianyangxjh@163.com

引用本文:

范效铮, 权鹏鹤, 张龙龙, 马帅军, 王延柱, 秦卫军, 袁建林, 杨晓剑. 机器人辅助腹腔镜根治性前列腺切除术患者特征及切缘阳性分析[J]. 微创泌尿外科杂志, 2021, 10(2): 105-110.
FAN Xiaozheng, QUAN Penghe, ZHANG Longlong, MA Shuaijun, WANG Yanzhu, QIN Weijun, YUAN Jianlin, YANG Xiaojian. Clinical characteristics of patients undergoing robot-assisted laparoscopic radical prostatectomy and analysis of risk factors of positive surgical margins in a single center in a single center. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(2): 105-110.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1664.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I2/105

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