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被视为微创手术的机器人辅助腹腔镜膀胱切除(RARC),作为开放根治性膀胱切除外的另一种治疗选择其意义越来越大,除功能学结果外,人们同时也重视其肿瘤学效果。2007年1月至2012年7月,德国汉堡Saarlandes大学施行RARC 129例,作者对其临床病程、病理检查结果和患者存活资料进行了评估。患者平均年龄(65.9±10.5)岁,体重指数(27±4.8)kg/m2,男性占比82.9%,曾有腹部手术史者55%。术中行回肠通道98例,新膀胱31例,平均手术时间(388±90)min,失血(454±335)ml。术后(2.70±1.26)d完
Robot assisted laparoscopic cystectomy (RARC), considered as a minimally invasive procedure, has become increasingly meaningful as an alternative to open radical cystectomy. In addition to functional outcomes, people also value their oncology effect. From January 2007 to July 2012, 129 patients with RARC were enrolled at Saarlandes University in Hamburg, Germany. The authors evaluated their clinical course, pathological findings and patient survival data. The average age of patients (65.9 ± 10.5) years, body mass index (27 ± 4.8) kg / m2, males accounted for 82.9%, had a history of abdominal surgery 55%. There were 98 cases of ileal approach and 31 cases of neobladder. The mean operation time was (388 ± 90) min and blood loss was (454 ± 335) ml. After surgery (2.70 ± 1.26) d finished