南方医科大学学报2017，Vol.37Issue(5)：659-662,4.DOI:10.3969/j.issn.1673-4254.2017.05.15
机器人辅助腹腔镜与传统腹腔镜在腰大肌悬吊输尿管再植术中的应用对比
Application of robotic-assisted versus conventional laparoscopy in ureteral reimplantation with psoas hitch
摘要
Abstract
Objective To compare the efficacy of robotic-assisted laparoscopic and conventional laparoscopic ureteral reimplantation with psoas hitch.Methods We retrospectively analyzed the data of 10 patients undergoing robotic-assisted laparoscopic ureteral reimplantation with psoas hitch and 6 undergoing conventional laparoscopic ureteral reimplantation between June,2013 and December,2014 in the General Hospital of PLA.The indications,surgical techniques and outcomes of the two procedures were compared.Results All the patients completed the laparoscopic procedures without conversion to open surgery.Robotic-assisted and conventional laparoscopic procedures were comparable in terms of the mean operation time (165.50±52.57 vs 152.50±73.60 min),mean volume of blood loss (81.00±69.35 vs 46.67±31.41 mL),mean duration of catheter retention (6.75±1.74 vs 7.50±2.43 days),and mean postoperative hospital stay (7.10±2.08 vs 8.67±3.14 days).The patients were followed up for a mean of 13.5 months,during which none of the patients experienced anastomotic leak,vesicoureteral reflux or hydronephrosis.Conclusion There are no significant differences in surgical indications,surgical techniques or postoperative effect between robotic-assisted and conventional laparoscopic procedures of ureteral reimplantation with psoas hitch,but robotic-assisted laparoscopy can reduced the complexity in operation and increase the surgical precision in patients with a history of pelvic surgery,pelvic adhesion or secondary reimplantation.关键词
机器人辅助腹腔镜/腰大肌悬吊法/输尿管再植术Key words
robotic-assisted laparoscopy/psoas hitch/ureteral reimplantation引用本文复制引用
李东,王保军,张旭,张为..机器人辅助腹腔镜与传统腹腔镜在腰大肌悬吊输尿管再植术中的应用对比[J].南方医科大学学报,2017,37(5):659-662,4.基金项目
国家863计划(2012AA02101) The National High Technology Research and Development Program of China (863 Program)(2012AA02101). （2012AA02101）
