腹腔镜外科杂志2026，Vol.31Issue(4)：288-293,6.DOI:10.13499/j.cnki.fqjwkzz.2026.04.288
经尿道前列腺切除术后机器人前列腺癌根治术的临床应用
Clinical application of robot-assisted radical prostatectomy after transurethral partial prostatectomy
摘要
Abstract
Objective:To summarize the clinical experience of robot-assisted radical prostatectomy(RARP)after transurethral partial prostatectomy.Methods:The clinical data of 30 patients admitted from Sep.2021 to Feb.2025 were collected.All patients were diagnosed with prostate cancer after transurethral partial prostatectomy(transurethral resection of the prostate or transurethral enuclea-tion of the prostate)and then underwent RARP again.Before RARP,10 patients had undergone transurethral resection of the prostate,and 20 patients had undergone transurethral enucleation of the prostate.The interval between transurethral resection/enucleation and RARP ranged from 3 months to 2 years.All operations were performed via the extraperitoneal approach.Results:All 30 patients successfully completed the operation.The pathological reports of 24 patients indicated tumor residue or foamy cell changes,and 6 patients indicated benign prostatic hyperplasia complicated with prostatitis.Pathological examination of one patient indicated positive resection margin.The total prostate-specific antigen of all patients was reexamined 6 weeks after operation,and all decreased to below 0.02 ng/mL.Recovery of urinary control:1 week after urinary catheter removal,5 patients regained urinary control;1 month after opera-tion,10 patients regained urinary control;3 months after operation,25 patients regained urinary control.Urethral stricture occurred in 6 patients after operation,and urination returned to normal after 4 to 6 times of transurethral dilation.Conclusions:RARP after transure-thral partial prostatectomy has particularities.Adequate preoperative evaluation of the periprostatic conditions of patients,meticulous intr-aoperative operation,and strengthened postoperative management are required to ensure the safety and effectiveness of the operation.关键词
前列腺肿瘤/前列腺癌根治术/机器人手术/膀胱颈重建/经尿道前列腺部分切除术/前列腺剜除术/前列腺电切术Key words
Prostatic neoplasms/Radical prostatectomy/Robotic surgical procedures/Bladder neck reconstruction/Transure-thral partial prostatectomy/Enucleation of the prostate/Transurethral resection of the prostate分类
医药卫生引用本文复制引用
曲发军,张向民,丁杰,虞永江,顾正勤,崔心刚..经尿道前列腺切除术后机器人前列腺癌根治术的临床应用[J].腹腔镜外科杂志,2026,31(4):288-293,6.基金项目
上海市创新医疗器械示范应用项目(23SHS04600) （23SHS04600）
宝山区卫生健康委优青(育才)计划(BSWSYC-2024-16) （育才）
上海市宝山区科学委员会面上项目(2024-E-40) （2024-E-40）
