[机器人辅助前列腺癌根治术]。

Magyar onkologia Pub Date : 2024-09-19 Epub Date: 2024-07-30
Máté Németh, Jenő Zsolt Szepesváry, Péter Törzsök
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引用次数: 0

摘要

前列腺癌是最常见的恶性肿瘤之一。根治性前列腺切除术(开腹、腹腔镜或机器人辅助)被认为是治疗中、高危前列腺癌的一线疗法,如果预期生存期超过 10 年,还可配合放疗。低风险患者也可考虑根治性前列腺切除术,同时进行积极的随访。如今,机器人辅助前列腺癌根治术是治疗局部前列腺癌最常见的手术方法。与开放手术相比,机器人辅助前列腺癌根治术的住院时间更短,输血需求更低。在低危、中危和高危前列腺癌的治疗中,机器人辅助前列腺癌根治术可获得令人满意的长期无生化复发生存率和肿瘤特异性生存率。机器人辅助前列腺癌根治术的优点是术后尿失禁恢复快,效力恢复率高。与开放式根治性前列腺切除术相比,微创方法的成本较高,因此应进一步研究术后恢复快所带来的益处,以量化成本效益。机器人辅助方法带来了许多新的手术技术,预计该领域将进一步快速发展。
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[Robot-assisted radical prostatectomy].

Prostate cancer is one of the most commonly seen malignancies. Radical prostatectomy - open, laparoscopic or robot-assisted - is considered the first-line treatment for intermediate and high-risk prostate cancer, along with radiotherapy, if the expected survival is greater than 10 years. Radical prostatectomy is also considered in case of low-risk patients alongside active follow-up. Today, robot-assisted radical prostatectomy is the most common surgical treatment for localised prostate cancer. It is associated with shorter hospitalisation times and lower transfusion requirements compared to open surgery. Satisfactory long-term biochemical recurrence-free survival and tumour-specific survival can be achieved with robot-assisted radical prostatectomy in the treatment of low-, intermediate- and highrisk prostate cancer. It has the advantage of rapid postoperative continence recovery and high potency recovery rates. The cost of the minimal invasive approach is higher compared to open radical prostatectomy, and the benefits of faster postoperative recovery should be further investigated to quantify cost-effectiveness. The robot-assisted approach has enabled a number of new surgical techniques and further rapid advances in this field are expected.

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