机器人外科学杂志（中英文）2025，Vol.6Issue(5)：824-827,832,5.DOI:10.12180/j.issn.2096-7721.2025.05.024
机器人辅助根治性膀胱切除术联合原位新膀胱术在膀胱癌患者中的应用
Application effect of robot-assisted radical cystectomy combined with orthotopic neobladder in bladder cancer patients
摘要
Abstract
Objective:To investigate the clinical efficacy of robot-assisted radical cystectomy(RARC)combined with orthotopic neobladder(ONB)in bladder cancer patients.Methods:84 patients who underwent RARC+ONB at the Affiliated Hospital of Nanjing University Medical School from October 2021 to October 2023 were enrolled.Operative time,intraoperative blood loss,postoperative length of hospital stay,sexual function before and after surgery,urinary continence rates,and complication rates of patients were analyzed.Results:All surgeries were successfully completed,with operative time of(430.28±39.45)min,intraoperative blood loss of(263.40±38.65)mL,and postoperative length of hospital stay of(9.78±1.68)d.Postoperative Arizona Sexual Experience Scale(ASEX)scores of patients were significantly decreased(P<0.05),while International Index of Erectile Function-5(IIEF-5)scores markedly increased(P<0.05).Urinary continence rates at 6 and 12 months after surgery were significantly higher than those at 3 months after surgery(P<0.05).Complications included 1 case of anastomotic stricture,2 cases of urinary leakage,and 11 cases of urinary tract infection,yielding a total complication rate of 16.67%.Conclusion:RARC combined with ONB has significant efficacy in treating bladder cancer,which can effectively improve sexual function,and enhance recovery of urinary continence.关键词
膀胱癌/机器人辅助手术/根治性膀胱切除术/原位新膀胱术/性功能Key words
Bladder Cancer/Robot-assisted Surgery/Radical Cystectomy/Orthotopic Neobladder/Sexual Function分类
临床医学引用本文复制引用
李萍,陈慧,庄君龙..机器人辅助根治性膀胱切除术联合原位新膀胱术在膀胱癌患者中的应用[J].机器人外科学杂志（中英文）,2025,6(5):824-827,832,5.基金项目
国家自然科学基金(81974394)National Natural Science Foundation of China(81974394) （81974394）
