机器人辅助腹腔镜完全体内尿流改道的应用现状

摘要/Abstract

目前在许多医学中心机器人辅助腹腔镜膀胱根治性切除术已成为治疗肌层浸润性膀胱癌的标准术式，围手术期并发症、术后恢复时间及术后生活质量较传统手术方式均表现出了优势。尿流改道术作为治疗肌层浸润性膀胱癌的重要组成部分，目前尚无统一手术标准，仍以开放尿流改道术为主流。随着微创技术的应用及普及，机器人辅助腹腔镜体内尿流改道术已在大型医学中心得到应用及验证，本文将对机器人辅助腹腔镜膀胱根治性切除术后行体内尿流改道术相关并发症及术后功能学、肿瘤学结果进行简要阐述。

Robot-assisted laparoscopic radical cystectomy has become the standard procedure in treating muscular invasive bladder cancer in many medical centers for now. Perioperative complications, postoperative recovery time and postoperative quality of life to robotic surgery show advantages over traditional surgical methods. Urinary diversion is an important part in treating muscular invasive bladder cancer. As there is no unified surgical standard at present, open urinary diversion is still the most common treatment way. With the application and popularization of minimally invasive technology, intracorporeal urinary diversions has been applied and verified in large medical centers. The complications, postoperative functional and oncological results of robotic-assisted laparoscopic urinary diversion after radical cystectomy are mainly discussed in this paper.

稿件信息

参考文献

[1] Ehandour R, Singla N, Lotan Y.Treatment options and outcomes in norunetastatic muscle invasive bladder cancer[J]. Trends Cancer, 2019, 5 (7): 426-439.

[2] Parra R O, Andrus C H, Jones J P, et al.Laparoscopic cystectomy: initial report on a new treatment for the retained bladder[J]. J Urol, 1992, 148 (4): 1140-1144.

[3] Menon M, Hemal A K, Tewari A, et al.Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion[J]. BJU Int, 2003, 92 (3): 232-236.

[4] 黄健 . 根治性膀胱切除术—从开放到腹腔镜到机器人 [J]. 中华泌尿外科杂志 , 2017, 38 (8): 564-567.

[5] Collins J W, Patd H, Adding C, et al.Enhanced recovery after robot-assisted radical cystectomy: EAU robotic urology section scientific Working group consensus view[J]. Eur Urol, 2016, 70 (4): 649-660.

[6] 黄健 , 董文 . 微创时代根治性膀胱切除术后尿流改道的选择 [J]. 中华泌尿外科杂志 , 2018, 39 (7): 489- 492.

[7] Hussein A A, May P R, Jing Z, et al.Outcomes of intracorpo-real urinary diversion after robot-assisted radical cystectomy: results from the international robotic cystectomy consortium[J]. J Urol, 2018, 199 (5): 1302- 1311.

[8] Hautmann R E, De Petriconi R C, Volkmer B G.25 years of experience with 1, 000 neobladders: long-term complications[J]. J Urol, 2011, 185 (6): 2207-2212.

[9] Tyritzis S I, Hosseini A, Lins J, et al.Oneologic, functional, and complications outcomes of robot— assisted radical cystectomy with totally intracorporeal neobladder diversion[J]. Eururol, 2013, 64 (5): 734-741.

[10] Fahmy O, Asri K, Schwentner C, et al.Current status of robotic assisted radical cystectomy with intracorporeal ilealneo bladder for bladder cancer[J]. J Surg Oncol, 2015, 112 (4): 427-429.

[11] Goh A C, Belarmino A, Patel N A, et al.A populationbased study of ureteroenteric strictures after open and robot-assisted radical cystectomy[J]. Urology, 2019. DOI: 10.1016/j.urology.2019.07.054.

[12] Carrion A, Pinero A, Raventós C, et al.Comparación de los resultados perioperatorios de la cistectomía radical asistida por robot con derivación urinaria extracorpórea vs. intracorporea[J]. Actas Urol Esp, 2019, 43 (2): 277-283.

[13] 周晓洲 , 郑霁 , 陈志文 , 等 . 机器人辅助女性根治性膀胱切除全腹腔内原位回肠 W 形新膀胱术的初步疗效 [J]. 中华泌尿外科杂志 , 2018, 39 (8): 596-600.

[14] Akbulut Z, Canda A E, Ozcan M F, et al.Robot assisted laparoscopic nerve-sparing radical cystoprostatectomy with bilateral extended lymph node dissection And intracorporeal studer pouch construction: outcomes of first 12 cases[J]. J Endourol, 2011, 25 (9): 1469-1479.

[15] Ahmed K, Khan S A, Hayn M H, et al.Analysis of intmcorporeal compared with excracorpored urinary diversion after robot-assisted radical cystectomy: results from the Intemational Robotic Cystectomy Consortium[J]. Eur Urol, 2014, 65 (2): 340-347.

[16] 杨诚 , 梁朝朝 . 机器人辅助根治性全膀胱切除加体内尿流改道术的研究进展 [J]. 中华泌尿外科杂志 , 2016, 37 (5): 395-397.

[17] Fujimura T.Current status and future perspective of robot-assisted radical cystectomy for invasive bladder cancer[J]. International Journal of Urology, 2019, 26 (11): 1033-1042.

[18] Schwentner C, Sim A, Balbav M D, et al.Robot assisted radical cvstectomv and intracorporeal neobladder fomation: on the way to a standardized pmcedure[J]. World J Surg Oncol, 2015, 13 (1): 3.

[19] Shim J S, Kwon T G, Rha K H, et al. Do patients benefit from total intracorporeal robotic radical cystectomy?: A comparative analysis with extracorporeal robotic radical cystectomy from a Korean multicenter study[J]. Investigative and Clinical Urology, 2020, 61 (1): 11.

[20] Tyritzis S I, Hosseini A, Collins J, et al.Oncologic, Functional, and Complications Outcomes of Robotassisted Radical Cystectomy with Totally Intracorporeal Neobladder Diversion[J]. European Urology, 2013, 64 (5): 734-741.

[21] Bertolo R, Agudelo J, Garisto J, et al.Perioperative Outcomes and Complications after Robotic Radical Cystectomy With Intracorporeal or Extracorporeal Ileal Conduit Urinary Diversion: Head-to-head Comparison From a Single-Institutional Prospective Study[J]. Urology, 2019, 129 (1): 98-105.

[22] Dell Oglio P, Mazzone E, Lambert E, et al.The Effect of Surgical Experience on Perioperative and Oncological Outcomes After Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion: Evidence from a Referral Centre with Extensive Experience in Robotic Surgery[J]. European Urology Focus, 2020, 29 (1): 1-7.

[23] Jonsson M N, Adding L C, Hosseini A, et al.Robot assisted radical cystectomy with intracorporeal urinary diversion inpatients with transitional cell carcinoma of the bladder[J]. Eur Urol, 2011, 60 (5): 1066-1073.

[24] CHEN Z, LU G, LI X, et al.Better Compliance Contributes to Better Nocturnal Continence With Orthotopic Ileal Neobladder Than Ileocolonic Neobladder After Radical Cystectomy for Bladder Cancer[J]. Urology, 2009, 73 (4): 838-843.

[25] Lobo N, Thurairaja R, Nair R, et al.Robot-assisted radical cystectomy with intracorporeal urinary diversion-The new ‘gold standard’? Evidence from a systematic review[J]. Arab Journal of Urology, 2019, 16 (3): 307-313.

[26] Porreca A, Mineo Bianchi F, Romagnoli D, et al.Robotassisted radical cystectomy with totally intracorporeal urinary diversion: surgical and early functional outcomes through the learning curve in a single highvolume center[J]. Journal of Robotic Surgery, 2019, 19 (3): 666-675.

[27] 符伟军 , 宋勇 , 王忠新 , 等 . 机器人辅助腹腔镜完全腔内乙状结肠直肠膀胱术可行性研究 [J]. 中华实验外科杂志 , 2019, 36 (9): 1675-1678.

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