腹腔镜下前列腺根治术

K. Araki, Y. Naya
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引用次数: 0

摘要

机器人辅助腹腔镜前列腺切除术(RALP)在21世纪比腹腔镜根治性前列腺切除术(LRP)更受欢迎。然而,RALP仍然是一个昂贵的手术。开放性根治性前列腺切除术(ORP)是一个金标准,而不是一个昂贵的手术。然而,ORP并不是微创的。LRP相对昂贵且侵入性最小。在前列腺切除手术中,伤口的扩散需要RALP或LRP的问题,而伤口的疼痛往往是一个问题。在脐处采用u型切口,不需要将伤口展开,即可切除前列腺。尽管单孔手术比传统腹腔镜手术恢复更快,患者满意度更高,但对外科医生来说仍是一项具有挑战性的手术。增加一个或两个端口,减少端口手术比单端口手术更容易。简化端口LRP是传统LRP的扩展。程序与常规LRP相同。弯曲或柔性的器械并不总是需要在缩小端口LRP。与传统的LRP相比,减少端口LRP的疼痛更少,美容效果更好,因为前列腺从脐部移除。切除前列腺不需要扩大伤口。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reduced Port Extraperitoneal Laparoscopic Radical Prostatectomy
Robot-assisted laparoscopic prostatectomy (RALP) is more popular than laparoscopic radical prostatectomy (LRP) in twenty-first century. However, RALP is still an expen sive surgery. Open radical prostatectomy (ORP) was a gold standard and not an expen - sive surgery. However, ORP is not minimum invasive. LRP is relative expensive and minimum invasive. The problem of RALP or LRP is necessary to spread the wound for removing prostate and the pain of wound is often a problem. Using U-shaped incision at umbilicus, spreading the wound is not necessary to remove prostate. Single-port surgery is a challenging procedure for surgeons in spite of faster recovery and higher patient satisfaction than conventional laparoscopy. Adding one or two port, reduced port sur - gery is easier than single-port surgery. Reduced port LRP is an extension of conventional LRP. The procedure is as same as conventional LRP. Curved or flexible instruments are not always necessary in the reduced port LRP. Reduced port LRP has less pain and better cosmetics than conventional LRP because the prostate is removed from the umbilicus. It is not necessary to spread the wound for removing prostate.
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