医学新知2026，Vol.36Issue(7)：750-755,6.DOI:10.12173/j.issn.1004-5511.202604147
国产单臂单孔机器人在大体积前列腺癌根治术中的初步应用
Preliminary application of domestic single-arm single-port robot in radical prostatectomy for large-volume prostate cancer
摘要
Abstract
Objective To investigate the safety and feasibility of domestic single-arm single-port robotic assisted laparoscopic radical prostatectomy(SP-RARP)for the treatment in patients with large-volume prostate cancer(PCa).Methods Clinical data of patients with large volume PCa who underwent single-arm SP-RARP surgery at the First Affiliated Hospital of Anhui Medical University from March 2025 to March 2026 were collected.Perioperative indicators such as operative time,pain score,postoperative hemoglobin reduction level,intestinal recovery and exhaustion time,length of hospital stay,positive postoperative pathological margins,recovery of urinary control,and complications were analyzed.Results A total of 10 patients were included,with preoperative prostate-specific antigen levels of 11.6(10.2,19.1)ng/mL and prostate volume of 79.4(67.2,102.9)mL.In the perioperative indicators,the surgical time was 145.5(121.5,163.3)min,the surgical operation time was 115.0(86.0,125.8)min,the hemoglobin decreased by 20.0(15.5,24.5)g/L,and the incision length was 4.3(4.1,4.4)cm.On the first day after surgery,the pain score was 1(1,2)points,and the postoperative hospital stay was 3.0(3.0,4.3)days.Two cases had positive pathological margins after surgery,and five cases recovered urine control one month after surgery.All patients had no intermediate opening or serious complications during the perioperative period.Conclusion This study preliminarily indicates that domestic single-arm robots for SP-RARP treatment of large-volume PCa patients are safe and feasible,among the 10 patients included,50 percent of patients recovered urinary control one month after surgery.However,further validation through multicenter,large-sample randomized controlled trials and long-term follow-up is still needed.关键词
单孔机器人手术/根治性前列腺切除术/大体积前列腺癌Key words
Single port robotic surgery/Radical prostatectomy/Large-volume prostate cancer分类
医药卫生引用本文复制引用
杜和喜,李佳豪,于志豪,李威毅,宋为杰,梁前俊,王宏志,邰胜,梁朝朝..国产单臂单孔机器人在大体积前列腺癌根治术中的初步应用[J].医学新知,2026,36(7):750-755,6.基金项目
国家自然科学基金面上项目(82570901) （82570901）
安徽省卫生健康委科研项目(2024-20) （2024-20）
