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摘要: 泌尿外科是达芬奇机器人手术系统(Da Vinci surgical system,DVSS)应用的最主要领域之一,其开展范围广,技术较为成熟。近年来,机器人辅助腹腔镜肾上腺切除术(robot-assisted laparoscopic adrenalectomy,RALA)开展日益增多,适用于巨大、压迫下腔静脉的肾上腺肿瘤,不适于采用传统腹腔镜手术的肾上腺小肿瘤等。结合本中心开展的RALA的临床经验及RALA国内外应用现状,可以得出RALA可行、安全、微创的结论,是传统腹腔镜肾上腺切除术(laparoscopic adrenalectomy,LA)强有力的替代手术方式,是未来肾上腺手术的主要方法之一。Abstract: Robot-assisted urologic surgery is an emerging and safe technology for most urologic operations. In recent years, robot-assisted laparoscopic adrenalectomy (RALA) has emerged and showed a growing increase. RALA is available for bulk and complicated adrenal neoplasms combined with inferior vena cava involvement, but not for small adrenal tumor. According to our clinical experience and current application status at home and abroad, we may draw a conclusion that RALA is a feasible, safe and minimal invasive surgery. RALA has emerged as an attractive alternative to traditional laparoscopic adrenalectomy (LA), and is a trend of renal surgery in the future.
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Key words:
- robot /
- laparoscopy /
- adrenal neoplasms /
- adrenalectomy
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