复杂病例行机器人辅助腹腔镜前列腺癌根治术的初步经验

摘要

Objective:To present our initial experience with robot-assisted laparoscopic prostatectomy (RALP) for complicated cases.Methods:Clinical and pathological data from 4 complicated prostate cancer cases,who underwent RALP from October to November in 2015,were analyzed retrospectively.All the cases were conducted transurethral plasmakinetic enucleation of prostate and hormonal therapy before RALP.Results:All surgeries were done successfully.The age,baseline prostatic special antigen,clinical tumor stage,operation time and estimated blood loss were 58-70 years,6.04-70.15 ng/mL,T2bT3b,210-360 min and 50-250 mL,respectively.No blood transfusion was needed.All surgical margin were negative.Conclusion:Although previous transurethral surgeries and hormonal therapies may increase the difficulty for operations,RALP is still appropriate for the complicated cases of prostate cancer.%目的:探讨机器人辅助腹腔镜前列腺癌根治术(robot-assisted laparoscopic prostatectomy,RALP)治疗复杂前列腺癌病例的初步经验.方法:回顾性分析中南大学湘雅三医院2015年10月至1 1月行RALP的4例复杂前列腺癌患者的临床和病理资料.4例患者,年龄58～70岁,均接受过经尿道等离子镜下前列腺癌剜除术和内分泌治疗.结果:4例患者手术均获成功,基线前列腺特异抗原(prostate specific antigen,PSA)6.04～70.15 ng/mL,临床分期T2b～T3b,手术时间180～360min,术中出血量50～250mL,均未输血,手术切缘均为阴性.结论:虽然经尿道前列腺手术史和内分泌治疗史会增加手术难度,RALP仍可用于此类复杂前列腺癌病例的治疗.