机器人辅助根治性膀胱切除术+体内回肠膀胱术手术经验分享(附光盘)

虽然开放根治性膀胱切除术(open radical cystectomy,ORC)是治疗肌层浸润性膀胱癌的金标准,但机器人辅助根治性膀胱切除术(robot-assisted radical cystectomy,RARC)的应用报道目前越来越多。RARC在达到和ORC一样的瘤控手术效果的同时更为微创。机器人手术系统的巨大优势是开放和传统腹腔镜无法比拟的,例如手术视野、灵巧性、精确性和稳定性。因此,RARC在背深静脉复合体缝合,新膀胱和尿道吻合,神经血管束的保留等操作方面有得天独厚的优势。机器人手术系统的应用也使完全体内尿流改道成为可能。

Surgical experiences of robot-assisted radical cystectomy and intracorporeal ileal conduit urinary diversion

Although open radical cystectomy （ORC） remains the gold standard of care for muscle‐invasive bladder cancer , robot‐assisted radical cystectomy （RARC） continues to gain wider acceptance .RARC maintains the oncologic principles of open radical cystectomy while providing the potential benefits of a minimally invasive approach .The unsurpassed visualization , precision ,dexterity and control provided by the da Vinci System offer the potential benefits for precise suturing of the DVC , creating of watertight urethra‐neobladder anastomosis ,and enhanced ability to preserve the neurovascular bundles in appropri‐ately selected patients ,which makes intracorporeal urinary diversion possible .Total intracorporeal RARC aims to offer the benefits of a complete minimally invasive approach while replicating the oncologic outcomes of open surgery .