| 付贤,吴宏珅,王刚,杨向南,王于勇.“超级面纱”技术在RARP治疗局限期前列腺癌中对患者 术后尿控功能、切缘阳性率的影响[J].浙江中西医结合杂志,2023,33(8): |
| “超级面纱”技术在RARP治疗局限期前列腺癌中对患者 术后尿控功能、切缘阳性率的影响 |
| "Super Veil" technology in RARP treatment of patients with limited-stage prostate cancer Effect of urinary control function and positive margin after operation |
| 投稿时间：2023-04-06 修订日期：2023-06-10 |
| DOI： |
| 中文关键词: 超级面纱 前列腺癌 尿控功能 切缘阳性率 |
| 英文关键词:super veil prostate cancer urinary control positive surgical control |
| 基金项目:杭州市医药卫生科技项目(编号:A20220540)；浙江省医药卫生科研项目（编号：2022506705） |
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| 中文摘要: |
| 【摘要】目的：分析“超级面纱”技术在机器人辅助根治性前列腺切除术(RARP)治疗中对前列腺癌患者尿控、切缘阳性率及其他围手术期结果的影响。 方法：回顾性收集我院2021年3月—2022年3月收治的60例前列腺癌患者临床资料，分为常规RARP组（30例）与超级面纱组（30例），统计两组的临床基线资料、术后尿垫使用数量、切缘阳性情况及其他围手术期结果等。尿控功能恢复定义为每日尿垫数为0。 结果：两组的基线资料如年龄、BMI、吸烟、酗酒、tPSA水平、Gleason评分、临床分期等较为一致（P＞0.05），同时在手术时间、术中出血量、引流管留置时间、住院时间等围手术期方面均无统计学差异（P＞0.05）；然而超级面纱组在术后14天尿管拔除时、1月、3月的尿控恢复率要优于常规RARP组的尿控恢复率（分别为术后14天尿管拔除时33% vs 10%，1月77% vs 50%，3月93% vs 73%，P＜0.05），在术后6月的尿控恢复率与常规RARP组相比趋于相近（分别为97% vs 93%，P＞0.05）；此外，两组术后的切缘阳性率相似（分别为33% vs 27%，P＞0.05），两组均未出现术后并发症Clavien系统分级I级以上并发症。 结论：结合“超级面纱”技术的RARP可改善前列腺癌患者短期尿控功能，切缘阳性率与术后并发症发生风险较小，安全有保障，具有临床推广应用价值。 |
| 英文摘要: |
| 【Abstract】Objective: To demonstrate the effects of robotic assisted radical prostatectomy (RARP) with super-veil technique on urinary control, positive surgical margin and other perioperative outcomes. Method: Sixty patients with prostate cancer admitted to our hospital from March 2021 to March 2022 were retrospectively collected. They were divided into conventional RARP group (30 cases) and super veil group (30 cases) by different surgical methods. We compared the baseline clinical data, the number of urinal pad used post-operative, positive margin and other perioperative outcomes between the two groups. Recovery of urinary control function was defined as a daily pad count of 0. Results: Baseline data such as age, BMI, smoking, alcohol abuse, tPSA level, Gleason score and clinical stage were consistent between the two groups (P > 0.05), and there were no significant differences in operation time, intraoperative blood loss, drainage retention time and hospital stay (P > 0.05). However, the rate of urinary control in the super veil group was better than that in the conventional RARP group at 14 days immediately after catheter removal, 1 month and 3 months after surgery (33% vs 10% in 14 days, 77% vs 50% in 1 month and 93% vs 73% in 3 months, respectively, P < 0.05). The recovery rate of urinary control at 6 months after surgery was similar to that of the conventional RARP group (97% vs 93%, P > 0.05). In addition, the positive rates of surgical margins were similar between the two groups (33% vs 27%, P > 0.05), and There were no complications above Clavien system grade I in both groups. Conclusion: RARP plus super veil technique was safe and effective , with improved short-term urinary control outcomes, low rate of positive surgical margin and mild risk of postoperative complications。 |
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