目的：评价膀胱癌合并尿道癌的患者行机器人辅助单孔腹腔镜全膀胱全尿道切除术的必要性、可行 性及优势。方法：南京中医药大学附属医院收治 1 例膀胱癌合并尿道癌患者，排除手术禁忌证后行机器人辅助单孔 腹腔镜全膀胱全尿道切除术 + 盆腔淋巴结清扫，结合相关文献并讨论。结果：患者总手术时间为 240 min，机器人 操作时间为 190 min，备机时间为 15 min，术中出血量为 100 ml。手术过程顺利，无中转常规腹腔镜或开放手术，无 并发症发生，术后 15 d 出院。术后大病理标本切缘阴性，未见转移淋巴结。结论：机器人辅助单孔腹腔镜全膀胱全 尿道切除术治疗膀胱癌合并尿道癌的手术效率更高，瘤控更佳，操作更简便、精细，安全性更高，临床疗效值得肯定。

Objective: To evaluate the necessity, feasibility and advantages of robot-assisted single-site laparoscopic radical cysto- urethrectomy in patients with bladder cancer complicated with urethral cancer. Methods: A case of bladder cancer complicated with urethral cancer was admitted to the Affiliated Hospital of Nanjing University of Chinese Medicine. After excluding the contraindications of surgery, robot-assisted single-site laparoscopic radical cysto- urethrectomy + pelvic lymph node dissection was performed. This case is discussed in this paper combined with relevant literature. Results: The total operative time was 240 min, with 190 min of robotic operation time and 15 min of standby time. The intraoperative blood loss was 100 ml. The surgery was successfully completed without conversion to laparoscopic or open surgery, and no complications occurred. The patient was discharged 15 days after surgery. Postoperative resection margin of pathological specimens was negative and no metastatic lymph nodes were found. Conclusion: Robot-assisted single-site laparoscopic total vesical radical cysto- urethrectomy in the treatment of bladder cancer complicated with urethral cancer has higher surgical efficiency, better tumor control, more simple and precise operation, higher safety, and worthy of positive efficacy.

收稿日期：2022-04-18  录用日期：2022-12-25 

Received Date: 2022-04-18  Accepted Date: 2022-12-25 

基金项目：江苏省卫生健康委科研项目（ZD2021028） 

Foundation Item: Scientific Research Project of Jiangsu Provincial Health Commission(ZD2021028) 

通讯作者：朱清毅，Email：drzhuqingy@126.com 

Corresponding Author: ZHU Qingyi, Email: drzhuqingy@126.com 

引用格式：王世衍，魏勇，沈露明，等 . 机器人辅助单孔腹腔镜下全膀胱全尿道切除术治疗膀胱癌合并尿道癌一例并文献复习 [J]. 机器人外科学杂志（中英文），2023，4（5）：492-496. 

Citation: WANG S Y, WEI Y, SHEN L M, et al. Robot-assisted single-site laparoscopic radical cysto- urethrectomy for bladder cancer complicated with urethral cancer: a case report and literature review [J]. Chinese Journal of Robotic Surgery, 2023, 4(5): 492-496. 

注：王世衍，魏勇为共同第一作者 

Co-first Author: WANG Shiyan, WEI Yong

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