[1]王昕凝① 罗光达 刘圣圳 祖强 卢锦山 张磊 张旭 董隽*①.机器人辅助腹腔镜肾部分切除术：单一术者99例经验总结[J].中国微创外科杂志,2017,17(3):206-227.
　Wang Xinning,Luo Guangda*,Liu Shengzhen*,et al.Robot-assisted Laparoscopic Partial Nephrectomy for Renal Mass: Experience of 99 Cases by the Same Performer[J].Chinese Journal of Minimally Invasive Surgery,2017,17(3):206-227.
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机器人辅助腹腔镜肾部分切除术：单一术者99例经验总结()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年3期
页码:
206-227
栏目:
临床研究
出版日期:
2017-06-20

文章信息/Info

Title:
Robot-assisted Laparoscopic Partial Nephrectomy for Renal Mass: Experience of 99 Cases by the Same Performer
作者:
王昕凝① 罗光达 刘圣圳 祖强 卢锦山 张磊 张旭 董隽*①
中国人民解放军总医院泌尿外科，北京100853
Author(s):
Wang Xinning;  Luo Guangda*;  Liu Shengzhen*;  et al.
*Department of Urology, Chinese PLA General Hospital, Beijing 100853, China
关键词:
机器人手术系统; 肾部分切除术; 肾肿瘤
Keywords:
Robotic surgery system; Partial nephrectomy; Renal tumor
文献标志码:
A
摘要:
目的探讨机器人辅助腹腔镜肾部分切除术（robot-assisted laparoscopic partial nephrectomy，RALPN）的有效性、安全性。方法回顾性分析2013年8月~2015年12月单一术者应用da Vinci机器人系统完成的99例RALPN临床资料。肿瘤直径1.5~8 cm，中位数3.0 cm。结果99例手术均成功完成，无中转开放手术。手术时间55~150 min，平均725 min；手术出血量10~200 ml，平均76 ml；肾动脉阻断时间8~28 min，平均21 min；术后引流管拔除时间2~11 d，平均31 d。术后病理提示99例切缘均为阴性，其中透明细胞癌80例，嫌色细胞癌2例，乳头状肾细胞癌4例，颗粒细胞癌1例，多房囊性肾细胞癌1例，后肾腺瘤1例，肾囊肿3例，血管平滑肌脂肪瘤4例，嗜酸细胞瘤3例。随访时间5~20个月，平均11个月，1例T1期肾癌术后1年脑转移死亡，余均无局部复发、远处转移。结论RALPN是一种安全可靠的手术方式。
Abstract:
ObjectiveTo discuss the safety and feasibility of robot-assisted laparoscopic partial nephrectomy (RALPN). MethodsA retrospective study was made on 99 patients treated by RALPN with the da Vinci system from August 2013 to December 2015 by the same performer. The tumor was 1.5-8 cm in diameter (median, 3.0 cm).ResultsThe RALPN was successfully accomplished in all the 99 cases, and no conversion to open surgery was required. The mean operative time was 72.5 min (range, 55-150 min), the mean hemorrhage was 76 ml (range, 10-200 ml), the mean renal ischemic time was 21 min (range, 8-28 min), and the mean time of drainage was 3.1 days (range, 2-11 days). Postoperative pathological examinations showed negative resection margins in all the cases, including 80 cases of renal clear cell carcinoma, 2 cases of chromophobe renal cell carcinoma, 4 cases of papillary renal cell carcinoma, 1 case of renal granulosa cell carcinoma, 1 case of multilocular cystic renal cell carcinoma, 1 case of metanephric adenoma, 3 cases of nephrocytosis, 4 cases of angiomyolipoma and 3 cases of oncocytoma. A follow-up for 5-20 months (mean, 11 months) was carried out. No patients got relapse or metastasis except one died of brain metastasis after 1 year.ConclusionRALPN is a safe and reliable operation.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：jdong@medmail.com.cn①（中国人民解放军总医院海南分院泌尿外科，三亚572000）
更新日期/Last Update: 2017-06-20