复杂病例行机器人辅助腹腔镜前列腺癌根治术的初步经验

发布时间：2018-04-19 13:04

  本文选题：机器人 + 前列腺癌根治术　； 参考：《中南大学学报(医学版)》2017年05期

【摘要】：目的:探讨机器人辅助腹腔镜前列腺癌根治术(robot-assisted laparoscopic prostatectomy,RALP)治疗复杂前列腺癌病例的初步经验。方法:回顾性分析中南大学湘雅三医院2015年10月至11月行RA LP的4例复杂前列腺癌患者的临床和病理资料。4例患者,年龄58~70岁,均接受过经尿道等离子镜下前列腺癌剜除术和内分泌治疗。结果:4例患者手术均获成功,基线前列腺特异抗原(prostate specific antigen,PSA)6.04~70.15 ng/m L,临床分期T2b~T3b,手术时间180~360 min,术中出血量50~250 m L,均未输血,手术切缘均为阴性。结论:虽然经尿道前列腺手术史和内分泌治疗史会增加手术难度,RA LP仍可用于此类复杂前列腺癌病例的治疗。
[Abstract]:Objective: to investigate the preliminary experience of robot-assisted laparoscopic prostatectomy (RALP) in the treatment of complex prostate cancer.Methods: the clinical and pathological data of 4 patients with complicated prostate cancer, aged 5870 years, who were treated with RA LP from October to November 2015 in Xiangya third Hospital, Central South University, were retrospectively analyzed.All patients underwent transurethral plasma-assisted enucleation of prostate cancer and endocrine therapy.Results all of the 4 patients were successfully operated. The baseline prostate specific antigenation was 6.04 ~ 70.15 ng/m / L, the clinical stage was T _ 2b ~ T _ 3B, the operation time was 180 ~ 360 min, the blood loss was 50 ~ 250m / L, no blood transfusion was found, and the surgical margin was negative.Conclusion: although the history of transurethral prostate surgery and endocrine therapy may increase the surgical difficulty, RA LP can still be used in the treatment of this kind of complicated prostate cancer.
【作者单位】： 中南大学湘雅三医院泌尿外科;
【分类号】：R737.25
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本文编号：1773206