单孔机器人辅助单纯前列腺切除术的初步体会

目的:探讨单孔机器人辅助单纯前列腺切除术（spRASP）治疗良性前列腺增生（BPH）的可行性及临床应用价值。方法:回顾性分析2020年11月—2021年6月上海中医药大学附属曙光医院泌尿中心7例采用spRASP治疗BPH患者的临床资料。平均年龄（67±9）岁。经估算的平均前列腺体积（78.3±12.9） mL;平均残余尿（PVR）(58.0±24.8) mL;平均国际前列腺症状评分（IPSS）(20.9±5.9)分,平均生活质量评分（QOL）(4.7±1.5)分,平均最大尿流率(Q_max)（7.9±3.6） mL/s。比较患者术前和术后3个月的IPSS评分、QOL评分、PVR、Q_max、IIEF等差异,分析评价手术疗效。结果:7例手术均顺利完成。平均手术时间（85.5±25.5） min,平均估计出血量（75.5±25.5） mL,平均留置引流管时间（3.4±0.8） d,平均留置尿管时间（7.5±1.2） d,术后平均住院时间（5.1±3.1） d。术后3个月患者平均IPSS评分（10.8±3.1）分、平均QOL评分（1.6±0.9）分、平...

Short-term study of robotic single-port laparoscopic simple prostatectomy

Objectives:To assess the feasibility and efficacy of single-port robot assisted simple prostatectomy(spRASP)for the treatment of benign prostatic hyperplasia(BPH).Methods:From November 2020to June 2021,7patients with BPH were treated by spRASP in the urology center of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine.The average patients'age was(67±9)years.The estimated prostate volume was(78.3±12.9)mL;preoperative residual urine volume was(58.0±24.8)mL;the average International Prostate Symptoms Score(IPSS)was(20.9±5.9)scores,the average Quality of Life Score(QOL)was(4.7±1.5)scores,the average maximum urine flow rate(Q_max)was(7.9±3.6)mL/s,respectively.All patients agreed to accept spRASP.The pre-operative and three months post-operative IPSS,QOL,residual urine and Q_max were compared and analyzed.Results:All seven patients were successfully completed.The average operation time was(85.5±25.5)min,the average estimated blood loss was(75.5±25.5)mL,drainage time was(3.4±0.8)days,catheterization time was(7.5±1.2)days,postoperative hospital stay was(5.1±3.1)days.Three months after surgery,patient's IPSS was(10.8±3.1)scores,QOL was(1.6±0.9)scores,the average residual urine was(15.3±4.6)mL and Q_max was(24.4±11.6)mL/s,respectively.All the parameters significantly improved compared with the preoperative data(P<0.05).Conclusion:spRASP is a safe and effective treatment for patients with BPH.