改良单切口多通道腹膜外机器人辅助腹腔镜前列腺根治性切除术（附120例报告）

doi:10.13418/j.issn.1001-165x.2022.6.21

Abstract

Abstract: Objective To investigate the efficacy and safety of modified single incision multi-channel (There is no need to use a multi-channel laparoscopic surgical approach device) extraperitoneal robot-assisted laparoscopic radical prostatectomy. Methods The clinical data of 120 patients with prostate cancer in Sichuan Provincial People's Hospital from November 2020 to June 2021 were analyzed retrospectively. There were 60 cases in group A (modified single incision extraperitoneal approach) and 60 cases in group B (multi-incision transabdominal approach). The average age of group A was 67.5 (60~78) years old. Among them, Gleason score was ≤ 7 in 50 cases and 8 in 10 cases. The volume of prostate was 62.4 (25.0~200.0) ml. The average age of group B was 68.3 (57~80) years. Among them, Gleason score was ≤ 7 in 48 cases and 8 in 12 cases. The volume of prostate was 63.2 (29.5~120.0) ml. The operation time, blood loss, postoperative hospital stay, postoperative exhaust time, incisal margin positive rate and urine control satisfaction rate were compared between the two groups. Results The operation was completed successfully in both groups. The postoperative exhaust time in group A and group B were 25 h (12 h~50 h) and 81.5 h (48 h~160 h), respectively, with statistical difference (P<0.05). The satisfaction rate of urine control in 24 hours and 3 months after operation were 20 cases (accounting for 33.33%), 55 cases (accounting for 91.67%) and 6 cases (accounting for 10.0%), 18 cases (accounting for 30.0%) respectively, the differences were statistically significant (P<0.05). Conclusions Modified single incision and multi-channel extraperitoneal robot-assisted laparoscopic radical prostatectomy has good tumor control effect and rapid recovery of urinary continence and intestinal function after operation. It is not restricted by special PORT and is easy to be popularized.

Key words: Single incision surgery; , Robot-assisted laparoscopic surgery; , Extraperitoneal approach, Prostate cancer; , , Radical prostatectomy

CLC Number:

Chen Zhengjun, Nie Yu, Wei Yi, Zhou Fang, Ren Shangqing, Fan Shida, Lv Qian, Tian Jingzhi, Wang Dong. Modified single incision and multi-channel extraperitoneal robot-assisted laparoscopic radical prostatectomy (additional report of 120 cases)[J]. Chinese Journal of Clinical Anatomy, 2022, 40(6): 743-747.

References 14

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Modified single incision and multi-channel extraperitoneal robot-assisted laparoscopic radical prostatectomy (additional report of 120 cases)

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