良性上尿路梗阻的机器人重建:当前文献综述。

IF 2.6 4区 医学 Q2 UROLOGY & NEPHROLOGY
Therapeutic Advances in Urology Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI:10.1177/17562872251326785
Rebeca Gonzalez Jauregui, Rohan G Bhalla, Karen Doersch, Brian J Flynn
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引用次数: 0

摘要

泌尿外科重建领域已经看到了腹腔内病例手术方式的范式转变,导致对微创技术的偏好增加。手术机器人的引入导致了创新方法的指数增长,反映了改善患者预后和解决开放和腹腔镜手术局限性的持续努力。本文综述了近10年来成人输尿管机器人重建术的研究进展。于2024年2月18日使用Medline、PubMed、Web of Science和Embase图书馆进行了非系统文献综述。2014年以来发表的英文研究报告了至少5例用于治疗成人良性输尿管梗阻的机器人输尿管重建病例。回顾机器人输尿管重建技术,其相关的成功率和并发症发生率,以及机器人方法与开放和腹腔镜重建的比较。目前的文献表明机器人平台在泌尿外科重建手术中的应用越来越多。机器人手术已被证明与更短的学习曲线、更少的外科医生疲劳、更好的可视化以及与腹腔镜手术相同的结果有关。由于缺乏比较数据、精心设计的随机对照试验和标准化标准来定义和衡量成功,文献受到限制,本综述证明了机器人输尿管重建治疗良性输尿管狭窄的安全性、可行性和有效性,证实了它是开放和腹腔镜手术的可行替代方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic reconstruction for benign upper urinary tract obstruction: a review of the current literature.

The field of reconstructive urology has seen a paradigm shift in the surgical approach for intra-abdominal cases, resulting in an increased preference for minimally invasive techniques. The introduction of the surgical robot has led to exponential growth in innovative approaches, reflecting the ongoing efforts to improve patient outcomes and address the limitations of open and laparoscopic surgery. This review article summarizes the knowledge gained in the last 10 years about adult robotic ureteral reconstruction. A non-systematic literature review was conducted on February 18, 2024 using Medline, PubMed, Web of Science, and Embase libraries. Studies published in English since 2014 reporting at least five robotic ureteral reconstructive cases for the management of benign ureteral obstruction in adults were included. A narrative review focusing on robotic ureteral reconstructive techniques, their associated success and complication rates, and how the robotic approach compares to open and laparoscopic reconstruction was performed. The current literature demonstrates increased utilization of the robotic platform in reconstructive urological procedures. Robotic surgery has been shown to be associated with shorter learning curves, lower surgeon fatigue, better visualization and equivalent results to those seen with laparoscopic surgery. While the literature is limited by a lack of comparative data, well-designed randomized controlled trials, and standardized criteria for defining and measuring success, this review demonstrates the safety, feasibility, and efficacy of robotic ureteral reconstruction for managing benign ureteral strictures, confirming it as a viable alternative to open and laparoscopic surgery.

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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
39
审稿时长
10 weeks
期刊介绍: Therapeutic Advances in Urology delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of urology. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in urology, providing a forum in print and online for publishing the highest quality articles in this area. The editors welcome articles of current interest across all areas of urology, including treatment of urological disorders, with a focus on emerging pharmacological therapies.
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