文章：

机器人辅助侧入路根治性前列腺切除术：技术、可重复性与疗效评估

Robot-Assisted Radical Prostatectomy by Lateral Approach: Technique, Reproducibility and Outcomes

原文发布日期：16 November 2023

DOI: 10.3390/cancers15225442

类型: Article

开放获取: 是

英文摘要：

Background: Radical prostatectomy by lateral approach allows performing a prostatectomy through a buttonhole, with direct access to the seminal vesicle and fully sparing the anterior pubovesical complex. Our aim is to show the results of reproducing the technique of robotic radical prostatectomy by lateral approach, in terms of intraoperative, postoperative, oncological and functional parameters. Methods: We analyzed 513 patients submitted to robotic radical prostatectomy by lateral approach from January 2015 to March 2021, operated on by two surgeons in our institution. The oncological and functional results of both surgeons were compared. Results: When comparing both surgeons, the rate of positive surgical margins (PSM) was 32.87% and 37.9% and significant surgical margins (PSM > 2 mm) were 5.88% and 7.58% (p= 0.672) for surgeon 1 and surgeon 2, respectively. Immediate continence was 86% and 85% and sexual potency at one year 73% and 72%, with a similar rate of complications for surgeon 1 and 2. Conclusions: Radical prostatectomy by the lateral approach technique with preservation of the anterior pubovesical complex is reproducible and offers good oncological and functional results.

摘要翻译： 

背景：侧入路根治性前列腺切除术可通过纽扣孔式切口实施前列腺切除，直接暴露精囊并完整保留耻骨膀胱前复合体。本研究旨在展示侧入路机器人辅助根治性前列腺切除术在术中、术后、肿瘤学及功能参数方面的技术复现结果。方法：我们分析了2015年1月至2021年3月期间由本机构两位外科医师实施的513例侧入路机器人辅助根治性前列腺切除术患者，并对两位术者的肿瘤学与功能学结果进行比较。结果：两位术者的阳性手术切缘率分别为32.87%与37.9%，显著性阳性切缘率（切缘>2mm）分别为5.88%与7.58%（p=0.672）。即刻尿控率分别为86%与85%，一年期性功能保留率分别为73%与72%，两位术者的并发症发生率相近。结论：保留耻骨膀胱前复合体的侧入路根治性前列腺切除术具有可复现性，并能提供良好的肿瘤学与功能学结果。

原文链接：

Robot-Assisted Radical Prostatectomy by Lateral Approach: Technique, Reproducibility and Outcomes