Advances in methods and strategies for preservation of relevant anatomical structures in robot-assisted radical prostatectomy
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摘要: 前列腺癌是男性泌尿系统常见恶性肿瘤，机器人辅助根治性前列腺切除术(robot-assisted radical prostatectomy，RARP)凭借高清立体视觉和精细操作能力等技术优势，已成为治疗局限性前列腺癌的重要手术方式。本文重点讨论RARP中关键解剖结构的保护策略，包括神经血管束、背深静脉复合体、膀胱颈、尿道及尿道周围结构的保留或重建技术。在保证肿瘤有效切除和控制的前提下，这些技术对于进一步提升患者术后功能恢复和生活质量具有良好效果。最后，本文展望了RARP的未来发展方向，旨在不断提高手术精准度和优化患者术后恢复状况。
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关键词:
- 前列腺肿瘤 /
- 机器人辅助根治性前列腺切除术 /
- 尿控 /
- 尿控相关结构
Abstract: Prostate cancer is the most common malignant tumor of the male urinary system, and robot-assisted radical prostatectomy(RARP) has emerged as a vital surgical approach to localized prostate cancer due to its technological advantages, including high-definition 3D visualization and precise manipulation capabilities. This article focuses on the protective strategies for critical anatomical structures during RARP, such as the neurovascular bundle, dorsal vascular complex, bladder neck, urethra, and periurethral tissues, which are pivotal for enhancing postoperative functional recovery and improving patients' quality of life on the premise of ensuring effective tumor resection and control. Moreover, the article contemplates the future advancements in RARP, with the goal of increasing the precision of surgery and accelerating postoperative recovery efficiency. -
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