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国产单孔手术机器人辅助腹腔镜根治性膀胱切除术+原位回肠新膀胱术:3例临床实践

何旺 钟文龙 李锴文 陈雄 黄健

中国癌症防治杂志2025,Vol.17Issue(4):416-420,5.
中国癌症防治杂志2025,Vol.17Issue(4):416-420,5.DOI:10.3969/j.issn.1674-5671.2025.04.03

国产单孔手术机器人辅助腹腔镜根治性膀胱切除术+原位回肠新膀胱术:3例临床实践

Clinical practice of domestically manufactured produced single-port robotic-assisted laparo-scopic radical cystectomy with orthotopic ileal neobladder:An analysis of three cases

何旺 1钟文龙 1李锴文 1陈雄 1黄健1

作者信息

  • 1. 510120 广州 中山大学孙逸仙纪念医院泌尿外科,广东省表观遗传重点实验室,广东省泌尿临床研究中心
  • 折叠

摘要

Abstract

Objective To investigate the clinical feasibility and safety of a domestically produced single-port robotic-assisted laparo-scopic radical cystectomy with orthotopic ileal neobladder.Methods A retrospective analysis was conducted on the clinical data of three patients who underwent this procedure at Sun Yat-sen Memorial Hospital,Sun Yat-sen University,between June and July 2025.The cohort comprised one female and two male individuals.Relevant literature was reviewed concurrently.Results All three patients success-fully completed the surgery without conversion to open surgery or alternative surgical approaches.The average total operative time was 351 minutes,with a range of 327 to 395 minutes,and the average intraoperative blood loss was 83 mL,ranging from 20 to 200 mL.None of the patients experienced severe complications such as intestinal fistula,urinary leakage,blood transfusion,or intraoperative major hemorrhage,and all were discharged within 14 days postoperatively.Postoperative pathology confirmed negative lymph nodes and negative margins in the urethra and bilateral ureters.Conclusions The perioperative safety of domestically manufactured single-port robotic-assisted laparoscopic radical cystectomy with orthotopic ileal neobladder is controllable,demonstrating its clinical feasibility.

关键词

膀胱癌/单孔手术机器人/根治性膀胱切除术/原位回肠新膀胱术

Key words

Bladder cancer/Single-port robot/Radical cystectomy/Orthotopic ileal neobladder

分类

医药卫生

引用本文复制引用

何旺,钟文龙,李锴文,陈雄,黄健..国产单孔手术机器人辅助腹腔镜根治性膀胱切除术+原位回肠新膀胱术:3例临床实践[J].中国癌症防治杂志,2025,17(4):416-420,5.

基金项目

广东省省级科技计划项目(2020B1111170006) (2020B1111170006)

广东省科学技术研究计划(2023B1212060013) (2023B1212060013)

中国癌症防治杂志

1674-5671

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