摘要
目的：探讨机器人辅助腹腔镜膀胱全切＋回肠原位新膀胱术（robot-assisted radical cystectomy with orthotopic ileal neobladder,RARC-INB）的临床应用,并进行初步总结。方法：回顾分析2014年10月至2014年11月为12例膀胱癌患者行机器人（da vinci外科手术系统）辅助腹腔镜膀胱全切＋回肠原位新膀胱术的临床资料。结果：12例手术均获成功,无一例中转手术,未发生脏器损伤。手术时间330~470 min,平均（390.0±61.5）min;术中出血量90~870 ml,平均（185.0±88.3）ml。1例术中输血400 ml。术后肠道通气嘱进食时间3~6 d,平均（4.0±1.5）d。拔除输尿管支架管时间14~28 d,平均（21±7）d,拔除导尿管时间18~28 d,平均（23±5）d。术后住院19~29 d,平均（24±5）d。结论：RARC-INB使手术趋于简单化,利于术者术中掌控及把握,具有创伤小、出血少、淋巴结清扫彻底、术后康复快等优点,是治疗浸润性膀胱癌安全、有效、可靠的方法,值得推广应用。
Objective： To investigate the experience and make preliminary summary of robot-assisted radical cystectomy with orthotopic ileal neobladder（ RARC-INB）. Methods： The clinical data of 12 patients with invasive bladder cancer who underwent RARC-INB（ da Vinci surgical system） from Oct. 2014 to Nov. 2014 were retrospectively analyzed. Results： All the operations were successfully completed. There was no conversion to open operation and no injury of other organs. The operating time was（ 390. 0 ±61. 5） min（ range,330-470 min） and the estimated blood loss was（ 185. 0 ± 88. 3） ml（ range,90-870 ml）. 1 patient required blood transfusion（ 400 ml） during the operation. The postoperative eating time of gastrointestinal ventilation was（ 4. 0 ± 1. 5） d（ range,3-6 d）. The J catheter time was（ 21 ± 7） d（ range,14-28 d） and the catheterization time was（ 23 ± 5） d（ range,18-28 d）. The postoperative hospital stay was（ 24 ± 5） d（ range,19-29 d）. Conclusions： RARC-INB has the advantages of small incision,little bleeding,thorough cleaning of pelvic lymph nodes and short postoperative recovery time. RARC-INB is a safe,effective and reliable method to treat invasive bladder neoplasm and worth to be popularized.
出处
《腹腔镜外科杂志》
2015年第1期68-70,共3页
Journal of Laparoscopic Surgery
