目的：分析顺逆结合机器人辅助最大程度保留前列腺周围结构的根治性前列腺切除术的临床应用价 值。方法：通过检索国内外相关文献，系统阐述前列腺周围重要解剖结构及其作用，总结顺逆结合机器人辅助最大 程度保留前列腺周围结构的相关技术。结果：神经血管束、阴部副动脉、背血管复合体，以及前列腺周围相关支持 结构如耻骨前列腺韧带、盆侧筋膜腱弓等对患者术后的尿控和性功能恢复具有重要作用。结论：顺逆结合机器人辅 助最大程度保留前列腺周围结构的根治性前列腺切除术在保护患者尿控、性功能等方面具有较好的效果，在临床应 用中具有一定优势。

Objective: To analyze the clinical application value of the combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures. Methods: By searching relevant literatures at home and abroad, the important anatomical structures and their functions around the prostate were systematically expounded, and the related technologies of combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures were summarized. Results: Neurovascular bundle, accessory pudendal arteries, dorsal vascular complex, and periprostatic supporting structures around the prostate (such as puboprostatic ligament, tendinous arch of pelvic fascia, etc.) play an important role in postoperative recovery of urinary continence and sexual function. Conclusion: The combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures has shown favorable results in terms of urinary continence and sexual function, which has certain advantages in clinical application.

收稿日期：2023-07-13  录用日期：2023-07-19 

Received Date: 2023-07-13  Accepted Date: 2023-07-19 

基金项目：陆军军医大学临床重大领域技术创新项目（CX2019LC107）；陆军军医大学第二附属医院青年博士人才孵化计划 （2022YQB047） 

Foundation Item: Key Project for Clinical Innovation of Army Medical University(CX2019LC107); The Young PhD Incubation Program of the Second Affiliated Hospital of Army Medical University（2022YQB047） 

通讯作者：郑霁，Email：jizheng023@aliyun.com 

Corresponding Author: ZHENG Ji, Email: jizheng023@aliyun.com 

引用格式：吴清剑，罗兴，周韬，等 . 顺逆结合机器人辅助最大程度保留前列腺周围结构的根治性前列腺切除术（附手术视频）[J]. 机器人外科学杂志（中英文），2024，5（4）：526-530. 

Citation: WU Q J, LUO X, ZHOU T, et al. Combination of anterograde and retrograde separation in robot-assisted radical prostatectomy with maximum preservation of the periprostatic structures (with surgical video) [J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 526-530.

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