Objective To assess the feasibility and efficacy of robot-assisted laparoscopic simple prostatectomy (RALSP) for the treatment of benign prostatic hyperplasia (BPH) with large prostate.Methods From January 2014 to July 2015,16 patients with large prostate (≥80 ml) were treated by RALSP.The average patient's age was 69 years.The prostate volume was (98.3 ± 12.9) ml,preoperative residual urine was (78.0 ± 24.8) ml,the average IPSS was (22.9 ± 5.9),the average QOL was (4.8 ±1.5) and the average Qmax was (8.9 ± 3.7) ml/s,respectively.All patients agreed to accept RASP.The pre-operative and three months post-operative IPSS,QOL,residual urine and Qmax were compared and analyzed.Results All 16 patients underwent the surgeries uneventfully.The average operation time was (92.5 ± 15.5) minutes,the estimated blood loss was (125.5 ±25.5) ml,drainage time was (4.6 ±0.8)days,catheterization time was (7.9 ± 1.2) days and postoperative hospital stay was (5.1 ± 1.1) days.Three months after surgery,patient's IPSS was (11.8 ± 3.1),QOL was (1.6 ± 0.9),the average residual urine was (12.3 ± 2.6) ml and Qmax was (29.4 ± 11.6) ml/s,respectively.All the parameters significantly improved compared with the preoperative data (P ＜ 0.05).Conclusions Robot-assisted laparoscopic simple prostatectomy is a safe and effective method for the treatment of BPH patients with prostate volume larger than 80 ml.%目的 探讨机器人辅助腹腔镜单纯前列腺切除术(RALSP)治疗大体积良性前列腺增生(BPH)的可行性及临床应用价值.方法 回顾性分析2014年1月至2015年7月我中心16例采用RALSP治疗大体积(≥80ml) BPH患者的临床资料.年龄62 ～ 79岁,平均69岁.经估算的前列腺体积(98.3±12.9)ml;平均残余尿量(78.0±24.8)ml;平均国际前列腺症状评分(IPSS) (22.9±5.9)分,平均生活质量评分(QOL)(4.8±1.5)分,平均最大尿流率(Qmax) (8.9±3.7) ml/s.比较患者术前和术后3个月的IPSS、QOL、残余尿、Qmax等差异,分析评价手术疗效.结果 16例手术均顺利完成.平均手术时间(92.5±15.5) min,平均估计出血量(125.5±25.5)ml,留置引流管时间(4.6±0.8)d,留置尿管时间(7.9±1.2)d,术后住院时间(5.1 ±1.1)d.术后3个月患者平均IPSS(11.8±3.1)分,QOL (1.6±0.9)分,平均残余尿(12.3 ±2.6) ml,与术前相比均明显降低(P均＜0.05),Qmax (29.4±11.6) ml/s,与术前比较明显升高(P＜0.05).结论 机器人辅助腹腔镜单纯前列腺切除术是治疗前列腺体积≥80 ml的BPH患者安全有效的方法.
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