腹腔镜与机器人辅助腹腔镜前列腺癌根治术治疗前列腺癌的效果比较

发布时间：2018-03-07 11:13

本文选题：机器人　切入点：腹腔镜　出处：《广东医学》2017年04期 　论文类型：期刊论文

【摘要】：目的分析腹腔镜前列腺癌根治术与机器人辅助腹腔镜前列腺癌根治术治疗前列腺癌的疗效和术后复发率的差异。方法将124例接受治疗的前列腺癌患者纳入研究。按手术方式的不同分为两组,其中观察组为机器人辅助腹腔镜前列腺癌根治术治疗前列腺癌41例,对照组为腹腔镜前列腺癌根治术治疗前列腺癌83例,比较两组患者的术前资料、手术时间、手术中出血量、手术中输血量、术后生化复发率等指标,分析腹腔镜前列腺癌根治术与机器人辅助腹腔镜前列腺癌根治术的治疗效果以及术后复发率的差异。结果在患者术前年龄、前列腺特异性抗原(PSA)、前列腺体积、Gleason评分、临床分期上观察组与对照组差异均无统计学意义(P0.05)。观察组出血量为(127±39.7)m L,对照组出血量为(400±18.1)m L,差异有统计学意义(P0.05)。观察组输血率为11.5%,对照组输血率为32.5%,差异有统计学意义(P0.05);观察组手术时间为(3.21±0.51)h,对照组手术时间为(4.7±1.01)h,差异有统计学意义(P0.05)。结论机器人辅助腹腔镜前列腺癌根治术对减少出血、输血、术后生化复发率等方面较腹腔镜有较大优势。
[Abstract]:Objective to analyze the differences in the recurrence rate after curative effect and postoperative treatment of prostate cancer prostate cancer surgery and robot assisted laparoscopic radical laparoscopic prostate cancer. Methods 124 cases of prostate cancer patients treated in the study. According to the different ways of operation were divided into two groups, the observation group for robot assisted laparoscopic radical prostatectomy for prostate cancer treatment 41 cases of prostate cancer, the control group for laparoscopic radical prostatectomy for prostate cancer in 83 cases, compared two groups of patients with preoperative data, operation time, amount of bleeding, intraoperative blood transfusion, postoperative recurrence rate and biochemical indexes analysis, radical resection of prostate cancer surgery and robot assisted laparoscopic radical laparoscopic prostatectomy. The treatment effect and the difference of recurrence rate after operation. Results in patients with age, prostate specific antigen (PSA), prostate volume, Gleason score, clinical stage view The observation group had no significant difference with the control group (P0.05). The observation group was (127 + 39.7) m L, the control group bleeding (400 + 18.1) m L, the difference was statistically significant (P0.05). The observation group blood transfusion rate was 11.5%, the control group blood transfusion rate was 32.5%, there was statistical significant differences (P0.05); the operation time of the observation group was (3.21 + 0.51) H control group, operation time was (4.7 + 1.01) h, the difference was statistically significant (P0.05). Conclusions robot assisted laparoscopic radical prostatectomy to reduce bleeding, blood transfusion, postoperative biochemical recurrence rate compared to laparoscopic has great advantage.

【作者单位】：四川省医学科学院·四川省人民医院泌尿外科;
【分类号】：R737.25

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