Radical cystoprostatectomy remains the gold standard treatment for muscle invasive bladder cancer. Use of minimally invasive approaches have gained prominence aided by surgical adjuncts such as harmonic scalpel and laparoscopic bowel staplers, however laparoscopic radical cystoprostatectomy remains extremely technically challenging even for experienced laparoscopic surgeons. Following the successful application of the da Vinci robotic surgical system for radical prostatectomy, attention has now turned to the use of robot assistance for laparoscopic cystoprostatectomy. Several centers have explored the feasibility of robotic cystoprostatectomy although long-term data is lacking. Controversy exists on the oncologic efficacy and safety, need for intracorporeal diversion and standardization of technique. This article details the history, technique, results and current status of robotic cystoprostatectomy and urinary diversion.

译文

根治性膀胱前列腺切除术仍然是肌肉浸润性膀胱癌的金标准治疗。在谐波手术刀和腹腔镜肠吻合器等外科辅助手段的帮助下,微创方法的使用已得到重视,但是即使对于经验丰富的腹腔镜外科医生来说,腹腔镜根治性膀胱前列腺切除术在技术上仍然极具挑战性。随着达芬奇机器人手术系统在根治性前列腺切除术中的成功应用,现在的注意力转向使用机器人辅助腹腔镜膀胱前列腺切除术。尽管缺乏长期数据,但一些中心已经探索了机器人膀胱前列腺切除术的可行性。在肿瘤学的疗效和安全性,对体内转移的需求以及技术的标准化方面存在争议。本文详细介绍了机器人膀胱前列腺切除术和尿流改道的历史,技术,结果和现状。

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