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首页> 外文期刊>Journal of palliative medicine >Celebrating life at the end of life: The birthday brigade
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Celebrating life at the end of life: The birthday brigade

机译：在生命的尽头庆祝生命：生日旅

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Introduction: Partial nephrectomy (PN) is currently the reference treatment for renal tumors of less than 4. cm in size (T1a). Laparoscopic PN is difficult to perform, with the main consequence being an increase in warm ischemia time and morbidity. In facilitating the surgical procedure, robotics combines the benefits of minimally invasive and conservative surgery. We report here 8 years of experience with 110 robot-assisted partial nephrectomies (RAPN). The objective of this study was to analyze the oncological and functional outcomes. Patients and methods: Between March 2005 and September 2012, 110 patients underwent RAPN. The epidemiological and surgical data and the oncological and functional outcomes were retrospectively collected and analyzed. Results: Seventy-six men and 34 women underwent surgery. The mean age was 59.6. ±. 14.2. years. Mean operative time was 141.3. ±. 36.1. minutes with a warm ischemia time of 21.2. ±. 8.8. minutes. Mean hospital stay was 5.3. ±. 2.2. days. Mean tumor size was 27.4. ±. 9.8. mm with 82.7% malignant tumors, of which 62.7% were clear cell carcinomas. Surgical margins were healthy in 100% of cases. After a mean follow-up of 28.7. ±. 18.5. months, no recurrence was noted. On a functional level, there was no short-term or medium-term impairment of renal function. The frequency of postoperative complications was estimated as 12% including 7% of surgical complications (3 arterial pseudoaneurysms, 4episodes of bleeding from the cut surface and 1 conversion to laparotomy). Conclusion: Robotics brought surgeon dexterity, meticulousness and precision. These qualities are essential in conservative renal surgery and made RAPN a safe and effective technique that gives good short and medium-term oncological and functional results.
机译：简介：部分肾切除术（PN）当前是小于4厘米（T1a）大小的肾脏肿瘤的参考治疗。腹腔镜PN难以执行，其主要后果是增加了温暖的缺血时间和发病率。在简化手术过程中，机器人技术结合了微创和保守手术的优势。我们在这里报告110种机器人辅助部分肾切除术（RAPN）的8年经验。这项研究的目的是分析肿瘤和功能的结果。患者和方法：自2005年3月至2012年9月，有110位患者接受了RAPN。回顾性收集并分析了流行病学和外科手术数据以及肿瘤学和功能结局。结果：76例男性和34例女性接受了手术。平均年龄为59.6。 ±。 14.2。年份。平均手术时间为141.3。 ±。 36.1。分钟，热缺血时间为21.2。 ±。 8.8。分钟。平均住院天数是5.3。 ±。 2.2。天。平均肿瘤大小为27.4。 ±。 9.8。 mm恶性肿瘤占82.7％，其中透明细胞癌占62.7％。手术切缘在100％的情况下是健康的。经过平均28.7的随访。 ±。 18.5。几个月，未发现复发。在功能水平上，没有短期或中期的肾功能损害。术后并发症的发生率估计为12％，其中包括7％的手术并发症（3个动脉假性动脉瘤，4个切面出血和1次开腹手术）。结论：机器人技术带来了外科医生的灵巧，细致和精确。这些品质在保守性肾脏手术中至关重要，并使RAPN成为一种安全有效的技术，可提供良好的短期和中期肿瘤学和功能结果。

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