2022 年2 月北京大学第一医院收治1 例盆腔子宫内膜异位症导致输尿管梗阻合并双侧卵巢囊肿患者。应用国产康多KD-SR-01 型内窥镜手术机器人系统完成膀胱腰肌悬吊、右侧输尿管膀胱再植联合双侧卵巢囊肿剥除术。手术过程顺利，机器人手术系统对接时间8min，手术时间180min，输尿管膀胱再植手术缝合时间16min，出血量20ml，未见术后并发症。

A 35-year-old female was admitted to Peking University First Hospital diagnosed with ureteral obstruction caused by pelvic endometriosis and bilateral ovarian cysts. She underwent right-sided ureteral reimplantation with Psoas Hitch and bilateral ovarian cyst exfoliation with the KangDuo robotic endoscopic system after signing the informed consent. The surgery was completed successfully, with the docking time of 8 minutes, the operative time of 180 minutes and the ureter-bladder suturing time of 16 minutes. The blood loss was 20 ml. No operative complications occurred.

收稿日期：2022-04-15 录用日期：2022-06-06

Received Date: 2022-04-15 Accepted Date: 2022-06-06

基金项目：北京大学第一医院横向课题（5001706）

Foundation Item: Horizontal Subject of Peking University First Hospital (5001706)

通讯作者：李学松，Email：pineneedle@sina.com；张岩，Email：shumruck@126.com

Corresponding Author: LI Xuesong, Email: pineneedle@sina.com; ZHANG Yan, Email: shumruck@126.com

引用格式：韩冠鹏，张箫薇，樊书菠，等. 国产内窥镜手术机器人下输尿管膀胱再植联合卵巢囊肿剥除术一例：国内首例报道[J].

机器人外科学杂志（中英文），2023，4（2）：160-166.

Citation: HAN G P, ZHANG X W, FAN S B, et al. Domestic robotic surgical system for ureteral reimplantation and ovarian cyst exfoliation: the first case report in China[J]. Chinese Journal of Robotic Surgery, 2023, 4(2): 160-166.

[1] 刘艳燕, 易跃雄, 熊家强, 等. 国产机器人辅助腹腔镜系统手术动物实验研究[J]. 中华实验外科杂志, 2022, 39(2): 280-283.

[2] 刘荣, 赵国栋, 孙玉宁, 等. 5G 远程机器人手术动物实验研究[J]. 中华腔镜外科杂志( 电子版), 2019,12(1): 45-48.

[3] FAN S B, DAI X F, YANG K L, et al. Robot-assisted pyeloplasty using a new robotic system, the KangDuo-Surgical Robot-01: a prospective, single-centre, singlearm clinical study[J]. BJU International, 2021, 128(2):162-165.

[4] WANG J, FAN S B, SHEN C, et al. Partial nephrectomy through retroperitoneal approach with a new surgical robot system, KD-SR-01[J]. Int J Med Robot, 2022,18(2): e2352.

[5] Taylor H S, Kotlyar A M, Flores V A. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations[J]. Lancet, 2021, 397(10276): 839-852.

[6] B a r r a F , S c a l a C , B i s c a l d i E , e t a l . U r e t e r a l endometriosis: a systematic review of epidemiology,pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility[J]. Human Reproduction Update, 2018, 24(6): 710-730.

[7] Alves J, Puga M, Fernandes R, et al. Laparoscopic management of ureteral endometriosis and hydronephrosis associated with endometriosis[J]. Journal of Minimally Invasive Gynecology, 2017, 24(3): 466-472.

[8] Uccella S, Cromi A, Agosti M, et al. Fertility rates,course of pregnancy and perinatal outcomes after laparoscopic ureterolysis for deep endometriosis: a long-term follow-up study[J]. J Obstet Gynaecol, 2016, 36(6):800-805.

[9] Cavaco-Gomes J, Martinho M, Gilabert-Aguilar J, et al.Laparoscopic management of ureteral endometriosis: a systematic review[J]. European Journal of Obstetrics& Gynecology and Reproductive Biology, 2017. DOI:10.1016/j.ejogrb.2016.12.011.

[10] Maccagnano C, Pellucchi F, Rocchini L, et al. Ureteral endometriosis: proposal for a diagnostic and therapeutic algorithm with a review of the literature[J]. Urologia Internationalis, 2013, 91(1): 1-9.

[11] Fujita K. Endometriosis of the ureter[J]. J Urol, 1976,116(5): 664.

[12] Yohannes P. Ureteral endometriosis[J]. Journal of Urology, 2003, 170(1): 20-25.

[13] Jadoul P, Feyaerts A, Squifflet J, et al. Combined laparoscopic and vaginal approach for nephrectomy,ureterectomy, and removal of a large rectovaginal endometriotic nodule causing loss of renal function[J]. J Minim Invasive Gynecol, 2007, 14(2): 256-259.

[14] Ota K, Sato K, Tanaka M. Ureteral stenosis due to DIE (deep infiltrating endometriosis) with difficulty in treatment: Case report and brief literature review[J].Gynecol Minim Invasive Ther, 2017, 6(4): 214-216.

[15] Knabben L, Imboden S, Fellmann B, et al. Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification[J]. Fertility and Sterility, 2015, 103(1): 147-152.

[16] 刘玉婷, 杨洁, 史宏晖, 等. 输尿管子宫内膜异位症的类型及诊治选择[J]. 生殖医学杂志, 2017, 26(1):77-81.

[17] Ghezzi F, Cromi A, Bergamini V, et al. Management of ureteral endometriosis: areas of controversy[J]. Curr Opin Obstet Gynecol, 2007, 19(4): 319-324.

[18] HE R, YU W, LI X S, et al. Laparoscopic ureteral reimplantation with extracorporeal tailoring and direct nipple ureteroneocystostomy for adult obstructed megaureter: a novel technique[J]. Urology, 2013, 82(5):1171-1174.

[19] ZHONG W L, YAO L, CUI H R, et al. Laparoscopic ureteral reimplantation with extracorporeal tailoring and direct nipple ureteroneocystostomy for adult obstructive megaureter: long-term outcomes and comparison to open procedure[J]. International Urology and Nephrology,2017, 49(11): 1973-1978.

[20] DING G P, CHENG S D, LI X F, et al. Experience managing distal ureteral strictures with Boari flappsoas hitch and comparison of open and laparoscopic procedures[J]. Translational Andrology and Urology,2021, 10(1): 56-65.

[21] YANG K L, CHENG S D, CAI Y K, et al. Clinical characteristics and surgical treatment of ureteral endometriosis: our experience with 40 cases[J]. BMC Women’s Health, 2021, 21(1): 206.

[22] Seracchioli R, Raimondo D, Di Donato N, et al.Histological evaluation of ureteral involvement in women with deep infiltrating endometriosis: analysis of a large series[J]. Human Reproduction, 2015, 30(4):833-839.

[23] Raimondo D, Mabrouk M, Zannoni L, et al. Severe ureteral endometriosis: frequency and risk factors[J]. J Obstet Gynaecol, 2018, 38(2): 257-260.

[24] 郑玉梅, 彭超, 陆叶, 等. 深部浸润型子宫内膜异位症在盆腔子宫内膜异位症中的发生率及其临床病理特征分析[J]. 中华妇产科杂志, 2020, 55(6): 384-389.

[25] 彭超, 张德玉, 周应芳, 等. 合并肾积水的输尿管子宫内膜异位症92 例临床分析[J]. 中华妇产科杂志, 2021, 56(12): 836-841.

[26] Darwish B, Stochino-Loi E, Pasquier G, et al.Surgical outcomes of urinary tract deep infiltrating endometriosis[J]. Journal of Minimally Invasive Gynecology, 2017, 24(6): 998-1006.

[27] Nezhat C M D, Lewis M M D, Kotikela S M D, et al.Robotic versus standard laparoscopy for the treatment of endometriosis[J]. Fertility and sterility, 2010, 94(7):2758-2760.

[28] Brudie L A, Gaia G, Ahmad S, et al. Peri-operative outcomes of patients with stage IV endometriosis undergoing robotic-assisted laparoscopic surgery[J].Journal of Robotic Surgery, 2012, 6(4): 317-322.