摘要
目的：总结机器人前列腺癌根治术治疗大体积前列腺癌（〉100g）的难点及其解决的技巧分析，提高前列腺癌根治术治疗大体积前列腺癌的手术水平。方法：我院自2012年4月～2013年12月间采用机器人前列腺癌根治术治疗大体积前列腺癌患者共5例，术后分析其PSA、年龄、前列腺体积、回顾其手术录像和术前影像学检查等资料，对其手术难点和技巧进行总结。结果：5例患者均顺利完成手术，平均出血量300（100-800）ml，无输血病例。术后平均拔管时间12．8（10～14）d，术后平均住院时间8．8（7～10）d。术后1个月内有3例患者尿控恢复满意（每天用≤1块尿垫），另2例患者在3个月内恢复满意。5例患者在术后第6周复查PSA均〈0．01μg／L。结论：大体积前列腺癌行机器人前列腺癌根治术难度较大，但在有熟练操作技能的前提下应用一定的手术技巧，采用机器人前列腺癌根治术治疗大体积前列腺癌还是具有可行性的。
Objective： To summarize the operative difficulties and skills in robotic radical prostatectomy for prostate cancer patients with large prostate glands （〉100 g） so as to improve the operation technique. Method： We retrospectively analyzed the data of five prostate cancer patients with large prostate glands who were performed robotic radical prostateetomy from April 2012 to December 2013. The data of PSA, age, prostate volume, opera- tive videos and the result of preoperative imaging examination were studied. Result： All the five cases were opera- ted successfully. The average blood loss was 300 （range, 100-800） ml, and no blood transfusion case was found. The average indwelling time was 12.8 （range, 10-14） days, and the average postoperative hospital stay was 8.8 （range, 7-10） days. At one month postoperatively, three of them were satisfied with urinary continence recovery and no more than one pad was used in a day. Another two patients were satisfied with urinary continence recovery within three months postoperatively. Moreover, the results of PSA of all five patients decreased to d0.01 μg/L at postoperative six weeks. Conclusion： Though robotic radical prostatectomy in large prostate glands poses a signifi- cant challenge to urologists, it is feasible when we have basic robotic surgical skills and the techniuue is practised.
出处
《临床泌尿外科杂志》
2014年第4期281-283,286,共4页
Journal of Clinical Urology
关键词
前列腺癌
大体积
机器人
prostate cancer
large volume
robot
