目的：探讨改良单一体位在机器人辅助腹腔镜下肾输尿管及膀胱袖状切除术中的应用效果。方法：选取2020 年6 月—2022 年5 月于广东省人民医院行达芬奇机器人肾输尿管及膀胱袖状切除术的31 例患者作为研究对象，其中2020 年6 月—2021 年9 月的21 例患者采取传统体位（传统体位组）；2021 年10 月—2022 年5 月的10例患者采取改良单一体位（改良单一体位组），比较两组患者在手术体位摆放时间、体位摆放前后生命体征变化、医疗器械相关压力性损伤、机械臂故障、手术时间、术中出血量、静脉输液不畅率及医护人员满意度等指标的差异。结果：改良单一体位组患者手术体位摆放时间和手术时间方面显著短于传统体位组（P<0.05），采用单一改良体位的医护满意度高于传统体位（P<0.05），其余指标比较差异无统计学意义（P>0.05）。结论：达芬奇机器人辅助腹腔镜下肾输尿管及膀胱袖状切除术使用改良单一体位可有效缩短手术体位摆放的时间和手术时间，提高手术效率，同时可极大改善手术医护人员的满意度，值得临床推广。

Objective: To investigate the efficacy of modified single position in robot-assisted laparoscopic nephroureterectomy and bladder cuff excision for upper tract urothelial cancer (UTUC). Methods: 31 patients with UTUC who underwent robot-assisted nephroureterectomy and bladder cuff excision in Guangdong Provincial People’s Hospital from June 2020 to May 2022 were selected into this study. Among which, 21 patients received the surgery under traditional position from June 2020 to September 2021 were divided into the traditional position group, and 10 patients under the modified single position from October 2021 to May 2022 were divided into the modified single position group. The positioning time, vital signs before and after positioning,medical device-related pressure injuries, robot arm fault, operative time, intraoperative blood loss, intravenous infusion failure rate and medical staff satisfaction rate of the two groups were compared and analyzed. Results: The positioning time and operative time in the modified single position group were significantly shorter than those in the traditional position group (P<0.05), while there was no significant difference in other indicators (P>0.05). Conclusion: Da Vinci robot-assisted laparoscopic nephroureterectomy and bladder cuff excision for UTUC with the modified single position could effectively shorten the positioning time and operative time,greatly improve the efficiency of operation and the satisfaction of medical staff, which is worthy of clinical application.

收稿日期：2022-07-22 录用日期：2022-08-30

Received Date: 2022-07-22 Accepted Date: 2022-08-30

基金项目：广东省医学科学技术研究基金项目（A2022529）

Foundation Item: Medical Science and Technology Research Foundation of Guangdong Province (A2022529)

通讯作者：吴展华，Email：439317062@qq.com

Corresponding Author: WU Zhanhua, Email: 439317062@qq.com

引用格式：杨芬玲，别逢桂，周帅，等. 改良单一体位在机器人辅助腹腔镜下肾输尿管及膀胱袖状切除术中的应用效果[J]. 机器人

外科学杂志（中英文），2023，4（1）：25-33.

Citation: YANG F L, BIE F G, ZHOU S, et al. Application effect of modified single position in robot-assisted laparoscopic

nephroureterectomy and bladder cuff excision [J]. Chinese Journal of Robotic Surgery, 2023, 4(1): 25-33.

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