临床医学工程2025，Vol.32Issue(12)：1334-1338,5.DOI:10.3969/j.issn.1674-4659.2025.12.1334
达芬奇机器人辅助腹腔镜前列腺癌根治术的临床疗效及对患者术后排尿功能的影响
Clinical Efficacy of Da Vinci Robot-Assisted Laparoscopic Radical Prostatec-tomy and Its Impact on Postoperative Urination Function of Patients
摘要
Abstract
Objective To investigate the clinical efficacy of Da Vinci robot-assisted laparoscopic radical prostatectomy(RALRP)and its impact on postoperative urinary function of patients.Methods Sixty patients with prostate cancer admitted to Department of Urology of Zhongshan Hospital Affiliated to Xiamen University from January 2021 to October 2024 were selected and divided into the robot group(n=28)and the conventional group(n=32)according to different treatment regimens.The robot group was treated with Da Vinci RALRP,while the conventional group was treated with traditional laparoscopic radical prostatectomy(TLRP).Surgical-related indicators,pain condition,urinary function,and complications were compared between the two groups.Additionally,both groups were followed up for 6 months postoperatively to assess the biochemical recurrence rate.Results There was no significant statistical difference in the positive rate of resection margin and biochemical recurrence rate between the two groups(P>0.05).However,the intraoperative blood loss in the robot group was less than that in the conventional group,and the operation time,catheter removal time and postoperative hospital stay were all shorter than those in the conventional group(P<0.05).There was no significant statistical difference in the preoperative visual analogue scale(VAS)scores between the two groups(P>0.05),but the VAS scores of the robot group at 1 day and 7 days after surgery were lower than those of the conventional group(P<0.05).One month after surgery,the maximum urethral closure pressure(MUCP),abdominal leak point pressure(ALPP),maximum flow rate(MFR),and bladder compliance(BC)were all improved compared to preoperative levels in both groups,with the robotic group showing higher values than the conventional group(P<0.05).The total incidence of postoperative complications in the robot group was 3.57%,significantly lower than 21.88%in the conventional group(P<0.05).Conclusions Da Vinci RALRP and TLRP demonstrate comparable efficacy in treating prostate cancer.However,compared with TLRP,Da Vinci RALRP can significantly reduce the intraoperative blood loss,shorten the postoperative recovery time,alleviate the degree of pain,promote the recovery of urination function,and reduce the risk of postoperative complications in patients.关键词
前列腺癌/达芬奇机器人辅助腹腔镜下前列腺癌根治术/传统腹腔镜前列腺癌根治术/排尿功能Key words
Prostate cancer/Da Vinci robot-assisted laparoscopic radical prostatectomy/Traditional laparoscopic radical prostatectomy/Urinary function分类
医药卫生引用本文复制引用
LUO Jianzhen,CHEN Peijie,XIN Xiaolei,LUO Guangcheng..达芬奇机器人辅助腹腔镜前列腺癌根治术的临床疗效及对患者术后排尿功能的影响[J].临床医学工程,2025,32(12):1334-1338,5.基金项目
福建省自然科学基金面上项目(项目编号:2020J011213) （项目编号:2020J011213）
