应用Da Vinci机器人治疗精囊原发性恶性肿瘤的临床效果观察

时京; 贾卓敏; 王云鹏; 李宏召; 马鑫; 张旭

doi:10.13201/j.issn.1001-1420.2017.02.013

应用Da Vinci机器人治疗精囊原发性恶性肿瘤的临床效果观察

- 1 中国人民解放军总医院泌尿外科(北京, 100853);
- 2 中国人民解放军陆军总医院泌尿外科

详细信息

通讯作者: 张旭,E-mail:xzhang@foxmail.com

中图分类号: R737.23

收稿日期: 2016-10-13

Clinical therapeutic effect observation of primary malignant tumor of seminal vesicle treated by Da Vinci surgical robot

- 1 Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China;
- 2 Department of Urology, Chinese PLA Army General Hospital

More Information

Corresponding author: ZHANG Xu, E-mail: xzhang@foxmail.com

Received Date: 13 October 2016

摘要

摘要: 目的：探讨应用Da Vinci机器人治疗精囊原发性恶性肿瘤的临床效果。方法：回顾性分析2013年1月~2016年8月解放军总医院应用Da Vinci机器人实施的4例精囊原发性恶性肿瘤手术患者的临床资料。结果：4例患者中，2例实施精囊肿瘤切除术，2例实施膀胱、前列腺、精囊切除术，其中1例术前发现盆腔淋巴结转移患者同时实施了盆腔淋巴结清扫术。4例手术均获成功，术中无直肠、大血管损伤等严重并发症。手术时间50~180min，术中失血量50~300ml。精囊肿瘤切除患者术后5天出院，膀胱、前列腺、精囊切除患者分别于术后7天和11天出院。术后病理回报，2例精囊腺癌，1例精囊未分化癌，1例精囊肉瘤。随访6个月~2年，2例精囊腺癌均无瘤存活。1例精囊未分化癌于术后1年发现局部复发，1例精囊肉瘤在术后6个月因肿瘤多发转移死亡。结论：精囊原发性恶性肿瘤恶性度高，手术操作难度较大。Da Vinci机器人操作精巧灵活，便于术野和肿瘤显露，应用于精囊原发性恶性肿瘤的手术效果良好。
- 机器人 /
- 精囊 /
- 恶性肿瘤 /
- 手术
Abstract: Objective: To investigate the clinical therapeutic effect of primary malignant tumor of seminal vesicle treated by Da Vinci surgical robot.Method: The clinical data of four patients with primary malignant tumor of seminal vesicle which were treated by Da Vinci surgical robot from January 2013 to August 2016 at Chinese PLA general hospital were reviewed.Result: Among four patients, two of them underwent excision of tumor of seminal vesicle;the other two underwent excision of bladder, prostate and seminal vesicle.Pelvic lymphadenectomy was applied to the patient who was detected before operation lymph node metastasis.All of the operations were finished successfully with no subsidiary injury.Operative time was 50-180 min and estimated blood loss was 50-300 ml.The hospital stay after operation of excision of tumor of seminal vesicle were five days, and the two excision of bladder, prostate and seminal vesicle were seven and 11 days.Histopathological assessment of the two cases was adenocarcinoma of the seminal vesicle, one case was undifferentiated carcinoma of the seminal vesicle, and one case was sarcoma of the seminal vesicle.All of the patients were followed up for six months to two years.Two patients with adenocarcinoma of the seminal vesicle were still alive without tumor recurrence.One patient with undifferentiated carcinoma of the seminal vesicle was diagnosed as local recurrence after one year.One patient with sarcoma of the seminal vesicle died half a year after operation because of tumor metastasis.Conclusion: The malignancy of primary malignant tumor of seminal vesicle is high and the operation is difficult.Da Vinci robot has the advantage of operative accuracy, exquisite and easy to show the operation field and tumor.It is compatible to apply operation for primary malignant tumor of seminal vesicle.
- robot /
- seminal vesicle /
- malignant tumor /
- operation

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