达芬奇机器人手术在泌尿外科的应用

目的 探索达芬奇机器人手术在泌尿外科应用的安全性和有效性.方法 回顾性分析我院2014年1月至2015年4月采用达芬奇机器人辅助腹腔镜手术治疗16例泌尿外科患者的临床资料.结果 16例手术全部成功,包括肾部分切除术3例、肾根治性切除术2例、前列腺根治性切除术6例、膀胱根治性切除及回肠膀胱术4例、膀胱根治性切除及输尿管皮肤造瘘术1例.3例肾部分切除患者、2例肾根治性切除患者、1例膀胱根治性切除及输尿管皮肤造瘘患者和6例前列腺根治性切除患者的平均手术时间及出血量相当,但4例膀胱根治性切除及回肠膀胱术患者的手术时间及出血量较多,分别为(436.3±16.8) min及(325.0±95.7) ml.所有患者的手术过程顺利,无中转开放手术、无围手术期并发症.结论 机器人手术在泌尿外科应用是安全有效的,尤其适用于狭窄盆腔手术及功能重建手术.

Application of da Vinci robotic surgery system in Department of Urology

Objective To explore the safety and effectiveness of applying da Vinci robotic surgery system in Department of Urology. Methods The clinical data of 16 patients in the Department of Urology in our hospital from January 2014 to April 2015 using da Vinci robotic surgery system for laparoscopic surgery were retrospectively ana-lyzed. Results All of the 16 patients were operated successfully, including 3 patients of partial nephrectomy, 2 patients of radical nephrectomy, 6 patients of radical prostatectomy, 4 patients of radical cystectomy and Bricker operation, 1 pa-tient of radical cystectomy and ureterocutaneostomy. The average operation time and amount of blood loss in the 3 pa-tients with partial nephrectomy, 2 patients with radical nephrectomy, 1 patient with radical cystectomy and ureterocutane-ostomy, 6 patients with radical prostatectomy were comparable, but the operation time and amount of blood loss were more in the 4 patients of radical cystectomy and Bricker operation (436.3 ± 16.8) min and (325 ± 95.7) ml]. All patients were operated successfully, without conversion to open surgery and perioperative complications. Conclusion Applying da Vinci robotic surgery system in Department of Urology is safe and effective, especially for narrow pelvic surgery and functional reconstructive surgery.