良性前列腺增生是中老年男性最为常见的良性的泌尿系统疾病之一,传统手术方式包括开放性前列 腺剜除术、经尿道前列腺电切术、经尿道激光前列腺剜除术、经尿道前列腺等离子剜除术、腹腔镜下前列腺剜除术等, 虽然手术方式众多,但均有一定局限性。随着机器人辅助手术时代来临,机器人辅助腹腔镜下良性前列腺增生手术 已成为大体积前列腺增生手术常选择的方式之一。本研究介绍机器人辅助耻骨后入路保留尿道前列腺切除术和机器 人辅助单纯前列腺切除术两种手术方式,并对适应证与禁忌证、体位布局、手术步骤进行总结。
Benign prostatic hyperplasia (BPH) is one of the most common diseases in urinary system of middle-aged and older men. Traditional surgical methods include open prostatectomy, transurethral resection of prostate, transurethral laser enucleation of prostate, transurethral plasma enucleation of prostate, and laparoscopic enucleation of prostate, etc. Though there are many surgical approaches, they all have certain limitations. With the advent of the era of robot-assisted surgery, robot-assisted laparoscopic BPH surgery has become one of the commonly chosen modalities for large-volume prostatic hyperplasia. Two surgical approaches are introduced in this paper, which are urethra-sparing robot-assisted retropubic prostatectomy and robot-assisted simple prostatectomy. Meanwhile, indications, contraindications, surgical positions and surgical steps of the two modalities are summarized.
收稿日期:2023-10-26 录用日期:2024-02-06
Received Date: 2023-10-26 Accepted Date: 2024-02-06
基金项目:浙江省自然科学基金项目(LQ22H160038)
Foundation Item: Natural Science Foundation of Zhejiang Province (LQ22H160038)
通讯作者:夏丹,Email:xiadan@zju.edu.cn
Corresponding Author: XIA Dan, Email: xiadan@zju.edu.cn
引用格式:何安邦,叶孙益,王平,等 . 机器人辅助腹腔镜下良性前列腺增生手术术式介绍 [J]. 机器人外科学杂志(中英文), 2024,5(6):1024-1029.
Citation: HE A B, YE S Y, WANG P, et al. Introduction to robot-assisted laparoscopic surgery for benign prostatic hyperplasia[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1024-1029.
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