目的：探讨腹膜外经膀胱入路单孔机器人辅助根治性前列腺切除术（ETvSP-RARP）的临床疗效。 方法：回顾性分析 2021 年 9 月—2022 年 6 月上海交通大学医学院附属新华医院 10 例行 ETvSP-RARP 患者的临床资 料，对患者拔除导尿管后即刻（术后 2 周）、术后 6 周及 3 个月进行随访，评估患者瘤控、尿控和性功能恢复情况。 结果：所有患者均顺利完成手术，无中转开放。平均手术时间 135（110~160）min，术中平均出血量 115（80~150）mL。 术后病理提示切缘阳性患者 1 例，术后进行内分泌治疗和放疗；其余患者术后 6 周复查 t-PSA 已降至 0.02 ng/mL 以下。 术后 6 周、3 个月的尿控率分别为 60％、100％。术后无法阴茎勃起。结论：ETvSP-RARP 可以更好地保留膀胱前间 隙的结构，患者术后压力性尿失禁的程度较低，早期尿控恢复良好。

Objective: To explore the clinical efficacy of extraperitoneal transvesical single-port robot-assisted radical prostatectomy. Methods: A retrospective analysis was performed on 10 patients who underwent extraperitoneal transvesical single-port robot-assisted radical prostatectomy (ETvSP-RARP) in Xinhua Hospital Affiliated to Shanghai Jiao Tong University from September 2021 to June 2022. They were followed up at 2 weeks, 3 months and 6 months after catheter removal to evaluate their recovery of tumor control, urinary continence and sexual function. Results: All surgeries were successfully completed without conversion to open surgery. The average operative time was 135 (110-160) min, and the average intraoperative blood loss was 115 (80-150) mL. Postoperative pathology indicated that 1 patient had positive surgical margin, who received postoperative endocrinotherapy and radiotherapy. T-PSA level in other patients decreased to less than 0.02 ng/mL 6 weeks after surgery. The urinary control rates at 6 weeks and 3 months after surgery were 6 (60%) and 10 (100%), respectively. However, penises were failure to erect after surgery. Conclusion: ETvSP-RARP can better preserve the structure of the prevesical space with the lower degree of stress incontinence, and the early recovery of urinary continence after surgery is good.

收稿日期：2022-12-19  录用日期：2023-03-24 

Received Date: 2022-12-19  Accepted Date: 2023-03-24 

基金项目：上海市创新医疗器械应用示范项目（23SHS04600） 

Foundation Item: Shanghai Innovative Medical Device Application Demonstration Project (23SHS04600) 

通讯作者：崔心刚，Email：cuixingang@xinhuamed.com.cn 

Corresponding Author: CUI Xingang, Email: cuixingang@xinhuamed.com.cn 

引用格式：曲发军，顾正勤，虞永江，等 . 腹膜外经膀胱入路单孔机器人辅助根治性前列腺切除术的临床应用（附手术视频）[J]. 机 器人外科学杂志（中英文），2024，5（6）：1042-1046. 

Citation: QU F J, GU Z Q, YU Y J, et al. Clinical application of extraperitoneal transvesical single-port robot-assisted radical prostatectomy (with surgical video)[J]. Chinese Journal of Robotic Surgery,  2024, 5(6): 1042-1046.

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