机器人外科学杂志（中英文）2025，Vol.6Issue(4)：523-528,6.DOI:10.12180/j.issn.2096-7721.2025.04.001
国产单孔蛇形臂机器人辅助优化后入路根治性前列腺切除术的初步经验(附手术视频)
Initial experience with a domestically developed single-port serpentine-arm robot-assisted optimized radical prostatectomy via posterior approach(with surgical video)
摘要
Abstract
Objective:To assess the safety and feasibility of radical prostatectomy via an optimized posterior approach using the domestically developed SHURUI single-port serpentine-arm robotic surgical system,featuring retrograde neurovascular bundle(NVB)release with Retzius-sparing technique,and to report preliminary clinical outcomes.Methods:Clinical data from 3 patients who underwent SHURUI single-port robot-assisted radical prostatectomy at the Second Hospital of Tianjin Medical University from October 2023 to November 2023 were analyzed.2 patients received the modified posterior approach(retrograde NVB release with Retzius-sparing),while 1 patient underwent a combined anterior-posterior approach.Perioperative parameters and follow-up data were evaluated.Results:All procedures were successfully completed.Total operative time(from skin incision to wound closure)was 248(217～286)min,with console time of 212(180～255)min.Intraoperative bleeding was 306(120～500)mL.No postoperative complications occurred.Surgical margins were negative in all cases.Immediate urinary continence was achieved in 2 patients after removal of catheter,with 1 patient attaining continence within one week.PSA levels remained well-controlled at 1 and 12 months after surgery,with no biochemical recurrence.Conclusion:The domestically developed SHURUI single-port serpentine-arm robotic surgical system can be used to perform radical prostatectomy via the optimized posterior approach safely incorporating retrograde NVB release and Retzius-sparing techniques,with satisfied short-term follow-up outcomes.关键词
单孔手术机器人/机器人辅助手术/手术入路/根治性前列腺切除术Key words
Single-port Surgical Robot/Robot-assisted Surgery/Surgical Approach/Radical Prostatectomy分类
临床医学引用本文复制引用
刘洋,王勇,刘子豪,王准,邵渊,杨振,黄华,王泽远,傅指南,牛远杰..国产单孔蛇形臂机器人辅助优化后入路根治性前列腺切除术的初步经验(附手术视频)[J].机器人外科学杂志（中英文）,2025,6(4):523-528,6.基金项目
天津医科大学第二医院泌尿人才孵育项目(2023ZDSYS06) （2023ZDSYS06）
天津医科大学第二医院院青年基金项目(2022YDEY18)Urinary talent Incubation Project of the Second Hospital of Tianjin Medical University(2023ZDSYS06) （2022YDEY18）
Youth Fund project of the Second Hospital of Tianjin Medical University(2022YDEY18) （2022YDEY18）
