《中国机器人辅助根治性膀胱切除术专家共识》—全腹腔内尿流改道解读
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Interpretation of expert consensus on total intraperitoneal urinary diversion in robotic assisted radical cystectomy in China
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    摘要:

    根治性膀胱切除术(RC)是治疗肌层浸润性膀胱癌的金标准,但尿流改道方式目前尚无统一标准。对一般情况较好、术后生活质量要求较高的患者可选择正位可控膀胱替代术,但手术步骤复杂、手术时间长、术后并发症相对较多,且对主刀医生要求较高,故限制了其推广。随着人工智能在医学领域的不断发展,医用手术机器人已广泛应用,机器人辅助全腹腔内尿流改道具有较多优势,且术后并发症、肿瘤学及功能学结果均较好,预测该法将会成为一种主流术式。本文就《中国机器人辅助根治性膀胱切除术专家共识》—全腹腔内尿流改道进行解读,以指导临床医生学习与应用。

    Abstract:

    Radical cystectomy is the gold standard for the treatment of myometrial invasive bladder cancer, but there is no uniform standard for urinary flow diversion. For patients with better general condition and higher quality of postoperative quality of life, patients with orthotopic bladder control can be selected, but the surgical procedure is complicated, the operation time is long, the postoperative complications are relatively more, and the requirements for the surgeon are more High, so limit its promotion. With the continuous development of artificial intelligence in the medical field, medical surgical robots have been widely used in the medical field. Robotassisted total intraabdominal urinary diversion has many advantages, and postoperative complications, oncology and functional results are welcome, predict that it will become a mainstream.

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  • 在线发布日期: 2019-09-02
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