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首页> 外文期刊>Journal of robotic surgery >Robotic radical prostatectomy after aborted prostatectomy: still feasible? The experience from a tertiary care center
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Robotic radical prostatectomy after aborted prostatectomy: still feasible? The experience from a tertiary care center

机译：中止前列腺切除术后的机器人自由基前列腺切除术：仍然可行？ 第三节护理中心的经验

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摘要

To describe the surgical management of patients who had radical prostatectomy previously attempted but aborted due to diverse causes. Patients who underwent an "aborted prostatectomy" were extracted from the institutional prostatectomy database. A description of the tailored robotic approach was reported for each case. Tips and tricks for the accomplishment of robotic prostatectomy after aborted prostatectomy were reported. Six clinical cases were analyzed. Three patients had aborted prostatectomy due to complicated dissection hindered by pelvic mesh and bowel adhesions; one prostatectomy was aborted due to anesthesiology/respiratory matters; one for narrow pelvis; one due to abnormal pelvic vascular anatomy. All patients successfully underwent robotic prostatectomy at our institution. In five patients, standard transperitoneal robotic approach was performed. In one patient, robotic transperineal approach was mandatory. Median operative time was 282 min (86-460). Median estimated blood loss was 325 mL (50-1000). Two patients had positive surgical margins. One patient was found with nodal metastasis at final pathology. Neither perioperative nor postoperative complications were reported. At last follow-up, PSA was undetectable in 5/6 patients. Even after previous aborted prostatectomy, robot-assisted prostatectomy is feasible, with acceptable results. The case-by-case tailoring of the technique is the key for a successful intervention.
机译：描述先前尝试但由于导致的患者的患者手术管理。从机构前列腺切除术数据库中提取了接受“中产前列腺切除术”的患者。报告了每种情况的定制机器人方法的描述。报道了中产前列腺切除术后机器人前列腺切除术的提示和技巧。分析了六种临床病例。由于骨盆网和肠粘连阻出了三个患者，前列腺切除术引起复杂的剖析;由于麻醉或呼吸事项，一名前列腺切除术中止;一个用于狭窄的骨盆;一个原因是骨盆血管解剖学异常。所有患者均在我们机构成功接受了机器人前列腺切除术。在五名患者中，进行了标准的翻盖式机器人方法。在一名患者中，机器人转膜体方法是强制性的。中位数手术时间为282分钟（86-460）。中位数估计失血为325毫升（50-1000）。两名患者有阳性手术边缘。在最终病理学中发现一名患者在Nodal转移中发现。围绕术语和术后并发症都没有报道。最后随访，PSA在5/6患者中无法察觉。即使在先前中止前列腺切除术后，机器人辅助前列腺切除术也是可行的，结果可接受。逐个案例剪裁该技术是成功干预的关键。

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