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目的:为了更好地推广机器人前列腺癌根治术,探讨该术式步骤标准化的临床意义。方法:回顾性分析单医生自2012年4月开展机器人前列腺癌根治术以来的112例患者的临床资料,统计患者围手术期资料及术后尿控情况,总结手术步骤,并在此基础上统计末尾30例患者的手术时间和围手术期并发症情况。结果:112例患者平均手术时间89min,2例于围手术期输血,3例术后出现尿漏,17例术后病理检查提示切缘阳性,需进一步行补救性治疗,于术后1个月随访患者尿控功能,81.25%的患者无需使用尿垫。末尾30例患者平均手术时间69min,无输血、直肠损伤、中转开放手术、尿漏等围手术期并发症,术后1个月尿控率为86.67%。结论:机器人前列腺癌根治术对前列腺癌有良好的治疗效果,围手术期并发症少,手术步骤可标准化,有利于手术进一步推广。
Objective: In order to promote the robot radical prostatectomy better, discuss the clinical significance of the standardized procedure. Methods: The clinical data of 112 patients who underwent radical prostatectomy with robotic prostate cancer since April 2012 were retrospectively analyzed. The perioperative data and postoperative urinary control were collected and the surgical procedures were summarized. Based on the statistics 30 patients at the end of the operation time and perioperative complications. Results: The average operation time of 112 patients was 89min. Two patients were transfused during the perioperative period. Three patients had postoperative urine leakage. The pathological examination of 17 patients showed that the margin of the margin was positive, and further remedial treatment was needed. One month after operation Follow-up of patients with urinary control function, 81.25% of patients without the use of urinary pad. At the end of the 30 patients, the average operation time was 69 minutes. There were no complications such as blood transfusion, rectal injury, transit open surgery, and urinary leakage. Urine control rate was 86.67% at one month after operation. Conclusion: Radical mastectomy for prostate cancer has a good therapeutic effect on prostate cancer. Perioperative complications are less and the surgical procedures can be standardized, which is good for further promotion of surgery.