机器人辅助腹腔镜下输尿管膀胱再植术的临床效果

发布时间：2018-04-16 18:39

本文选题：输尿管下段狭窄 + 达芬奇机器人手术系统　；参考：《医学研究生学报》2017年11期

【摘要】：目的国内外关于机器人辅助腹腔镜下输尿管膀胱再植术(RAUR)研究相对较少。文中旨在总结此术式的手术经验,并探讨此其可行性及临床效果。方法回顾性分析南京军区南京总医院泌尿外科2015年5月至2017年2月收治的5例输尿管下段狭窄患者。利用Da Vinci手术机器人系统对其施行输尿管RAUR,并分析临床效果。结果 5例患者手术均获得成功,无中转开放手术,术中估计出血量较少(40~100 mL),无输血病例,拔除导尿管时间较短(5~7 d)。术中无肠道、重要血管损伤,术后无一例发生术后并发症。术后3月患肾GFR检查均较术前不同程度增加(2~12 mL/min)。术后均随访半年以上,行B超检查提示输尿管、肾盂扩张情况均未见进行性加重。结论机器人辅助腹腔镜下输尿管膀胱再植术术后并发症少,是一种安全、有效的微创术式。
[Abstract]:Objective there are few researches on Robo-assisted Laparoscopic ureteral bladder Replantation (RAURs) at home and abroad.The purpose of this article is to summarize the experience of the operation and to discuss its feasibility and clinical effect.Methods from May 2015 to February 2017, 5 patients with lower ureteral stenosis in Nanjing General Hospital of Nanjing military region were retrospectively analyzed.The ureteral RAURs were performed with Da Vinci surgical robot system and the clinical results were analyzed.Results all of the 5 patients were successfully operated without any conversion to open surgery. The estimated blood loss during the operation was less than 40,100ml / L, no blood transfusion was found, and the time for removing catheter was 5 days or 7 days.There was no intestinal tract injury and no postoperative complications.3 months after operation, GFR examination of kidney increased by 12 mL / min compared with that before operation.All patients were followed up for more than half a year. B-ultrasound examination showed that ureter and renal pelvis dilation were not progressively aggravated.Conclusion Robotic assisted laparoscopic ureteral bladder replantation has less complications and is a safe and effective minimally invasive procedure.
【作者单位】：第二军医大学金陵医院(南京军区南京总医院)泌尿外科;
【基金】：江苏省自然科学基金(BK20140735)
【分类号】：R699

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