[本部门开展的泌尿肿瘤机器人手术]。

Magyar onkologia Pub Date : 2024-09-19 Epub Date: 2024-07-26
Boldizsár Vokó, Tamás Mayer, Ákos Szegedi, Péter Tenke
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引用次数: 0

摘要

我们的目的是介绍在我们科室进行的机器人辅助手术的围手术期和肿瘤学结果。我们回顾性分析了2022年2月1日至2024年3月31日期间进行的658例机器人辅助手术的数据。带有双侧淋巴结清扫的根治性前列腺切除术的平均手术时间为229分钟,平均失血量为305毫升。不进行淋巴结清扫的手术平均失血量为233毫升,手术时间为185分钟。术后一年无生化复发率为 81.6%。165名患者接受了机器人辅助肾部分切除术,48名患者接受了根治性肾切除术。我们在匈牙利首次采用体腔内 "新膀胱 "技术进行了机器人辅助膀胱切除术。在尿路转流方面,我们为10例患者实施了膀胱正位形成术,为20例患者实施了布里克膀胱形成术,为4例患者实施了尿道膀胱造口术。我们还进行了国内首例机器人辅助腹膜后淋巴结切除术。总之,利用机器人辅助技术,可以以微创方式安全地实施全方位的泌尿肿瘤根治手术。到目前为止,我们的经验和结果令人鼓舞,这也验证了机器人手术在国内的分布越来越广泛。
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[Uro-oncological robotic procedures performed in our department].

Our objective was to present the perioperative and oncological results of robot-assisted surgery performed in our department. In our publication, we retrospectively reviewed the data of 658 robot-assisted procedures performed between 01/02/2022 and 31/03/2024. The average operative time for radical prostatectomy with bilateral lymph node block dissection was 229 minutes, mean blood loss was 305 ml. Without lymphadenectomy, mean blood loss was 233 ml, operative time was 185 minutes. Biochemical relapse- free rate was 81.6% one year after the procedures. 165 patients underwent robot-assisted partial nephrectomy, and 48 patients underwent radical nephrectomy. We performed the first robot-assisted cystectomy with intracorporeal "neobladder" technique in Hungary. In terms of urinary diversion, we performed orthotopic bladder formation in 10 cases, Bricker bladder formation in 20 cases, and uretherocutaneostomia in 4 cases. We also performed the first robot- assisted retroperitoneal lymphadenectomy in the country. As a conclusion, using robot-assisted technology, the full spectrum of radical uro-oncological surgical procedures can be safely performed in a minimally invasive manner. Our experience and results are encouraging so far, validating the increasing domestic distribution of robotic surgery.

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[Endometrial cancer: our experience with roboticassisted technique]. [First experience with robotic-assisted colorectal surgery]. [Indications and early experience with transoral robotic surgery]. [Our initial experience with robot-assisted partial nephrectomy]. [Retrospective analysis of metaplastic breast cancer cases].
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