目的:使用国产图迈机器人行腹腔镜根治性前列腺切除手术,观察其安全性及使用效果.方法:收集2023年1月至2023年5月前列腺癌患者40例,患者均行机器人辅助腹腔镜根治性前列腺切除术,采取保留膀胱颈和最大长度功能性尿道的手术方法.按使用机器人系统不同,分为观察组(图迈机器人组)和对照组(达芬奇机器人组),观察机械臂安装时间、腔内手术时间、尿道吻合时间、术中出血量、术后尿控等指标.结果:所有患者均顺利完成手术,观察组和对照组机械臂中位安装时间分别为6 min vs 5 min(P＞0.05),腔内手术中位时间分别为146 min vs 130 min(P＜0.05),尿道吻合中位时间分别为19 min vs 16 min(P＜0.05),术中中位出血量分别为200 ml vs 150 ml(P＞0.05).术后即刻、1个月、3个月、6个月尿控恢复率分别为9/15(60.0％)vs 16/25(64.0％)、12/15(80.0％)vs 19/25(76.0％)、14/15(93.3％)vs 23/25(92.0％),15/15(100％)vs 24/25(96％),两组比较无显著差异(P＞0.05).结论:国产图迈机器人系统行腹腔镜根治性前列腺切除手术安全可靠,术后尿控效果满意.
Abstract
Objective:To evaluate the safety and efficiency of China-made Toumai Robot-assisted laparoscopic radical prosta-tectomy(LRP).Methods:This study included 40 cases of PCa treated from January 2023 to May 2023 by robot-assisted LRP with preservation of the bladder neck and maximal functional urethral length,15 cases with the assistance of Toumai Robot(the TMR group)and the other 25 with the assistance of da Vinci Robot as controls(the DVR group).We recorded the docking time,laparo-scopic surgery time,vesico-urethral anastomosis time,intraoperative blood loss and postoperative urinary continence,and compared them between the two groups.Results:Operations were successfully completed in all the cases.No statistically significant differ-ences were observed between the TMR and DVR groups in the docking time(6 min vs 5 min,P＞0.05)or intraoperative blood loss(200 ml vs 150 ml,P＞0.05).The TMR group,compared with the DVR group,showed a significantly longer median laparoscopic surgery time(146 min vs 130 min,P＜0.05)and median vesico-urethral anastomosis time(19 min vs 16 min,P＜0.05).There were no statistically significant differences between the TMR and DVR groups in the rates of urinary continence recovery immediately af-ter surgery(60.0％[9/15]vs 64.0％[16/25],P＞0.05)or at 1 month(80.0％[12/15])vs(76.0％[19/25],P＞0.05),3 months(93.3％[14/15])vs(92.0％[23/25],P＞0.05)and 6 months postoperatively(100％[15/15])vs(96％[24/25],P＞0.05).Conclusion:China-made Toumai® Robot surgical system is safe and reliable for laparoscopic radical prosta-tectomy,with satisfactory postoperative recovery of urinary continence.
维普
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