Robot-Assisted Laparoscopic Excision of Complicated Retroperitoneal Tumors with Four Arms Via Retroperitoneal Way: A Unique Minimal-Invasive Approach.
Robot-Assisted Laparoscopic Excision of Complicated Retroperitoneal Tumors with Four Arms Via Retroperitoneal Way: A Unique Minimal-Invasive Approach.
复制标题
DOI：
10.1089/lap.2019.0532
复制
发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
S. Ye;Ping Wang;Lixian Zhu;Taile Jing;J. Qin;Yi Zhu;D. Xia;Shuo Wang
中科院分区：
文献类型：
--
作者：
S. Ye;Ping Wang;Lixian Zhu;Taile Jing;J. Qin;Yi Zhu;D. Xia;Shuo Wang
背景：复杂腹膜后肿块的外科治疗是最具挑战性的泌尿外科肿瘤手术之一。本研究旨在描述我们处理腹膜后肿块的技术和经验。方法：对3例复杂性腹膜后肿块患者采用四臂机器人经腹膜后入路手术。手术步骤：我们标准化的基于解剖学的“先肾安全，后肿块切除”技术，用于机器人辅助的复杂腹膜后肿块切除术，旨在最大限度地减少肾蒂损伤的机会。获得了基线人口统计学、病理数据和最新的随访结果。结果：在这个回顾的病例系列中，所有3名患者都在腹膜后间隙用四只胳膊成功地接受了机器人辅助手术。一名患者在机器人手术后2周接受了椎旁肿块切除术。平均数据包括手术时间175分钟，估计失血量133毫升，住院4天。无并发症发生。结论：机器人辅助四臂手术治疗复杂性腹膜后肿块是一种安全可行的方法。患者简介：经腹膜后入路机械四臂微创治疗腹膜后肿块是一种可行的方法。该方法减少了对体内结构和器官的干扰。患者可以从腹膜后入路中受益，恢复更快。
Background: Surgical management of complicated retroperitoneal mass is one of the most challenging urologic oncologic surgeries. This study aims to describe our technique and experience in dealing with retroperitoneal mass. Methods: Three patients with complicated retroperitoneal mass were treated with robot-assisted surgery with four arms through retroperitoneal approach. Surgical Procedure: Our standardized anatomic-based "kidney safe first, then mass resection" technique for robot-assisted complicated retroperitoneal mass resection focused on minimizing the chance of renal pedicle injury. Baseline demographics, pathology data, and latest follow-up outcome were obtained. Results: In this retrospectively reviewed case series, all 3 patients were successfully treated with robot-assisted surgery with four arms during retroperitoneal space. One patient received paravertebral mass resection 2 weeks after the robotic surgery. Mean data included operative time of 175 minutes, estimated blood loss was 133 mL, and hospital stay was 4 days. No complications occurred. Conclusions: Robot-assist surgery for complicated retroperitoneal mass with four arms is a safe and feasible way. Patient Summary: Mini-invasive treatment for retroperitoneal mass with robotic four arms through retroperitoneal approach is a feasible way. The approach reduces interruption of intracorporeal structure and organs. And patients could benefit from the retroperitoneal approach with a quicker recovery.