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首页> 外国专利> METHOD OF ROBOT-ASSISTED RADICAL CYSTECTOMY IN PATIENTS WITH BLADDER CANCER

METHOD OF ROBOT-ASSISTED RADICAL CYSTECTOMY IN PATIENTS WITH BLADDER CANCER

机译：膀胱癌患者的机器人辅助根治性膀胱切除术

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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to oncology, urology, and can be used for the purpose of radical treatment of bladder cancer. Optical, three robotic and two assistant trocars of the Da Vinci surgical system are installed, identification and dissection of ureters, apical dissection, interintestinal anastomosis and Bricker uroleostomy are formed. Optical trocar is positioned at the middle of the distance between the umbilicus and the xiphoid. First robotic trocar R1 is installed in the area of further removal of uroleostomy, the second robotic trocar R2 is installed at distance of 8 cm from the first, above the right iliac spine, the third robotic trocar R3 – on the left at distance of 8 cm from the optical trocar at the navel level. First assistant 12 mm As1 trocar is placed 2 cm above the left iliac spine in the anterior axillary line, second assistant 5 mm As2 trocar – along the anterior axillary line above the third robotic line. Sacral and bifurcation lymphadenectomy are performed by placing the instruments in a parallel position. Intersection of ureters is performed after complete mobilization of urinary bladder, and intestinal anastomosis is applied by endoscopic stapling apparatus through 12 mm assistant trocar.;EFFECT: using the invention provides reducing the length and blood loss of the operation, improving the surgeon's convenience, preventing the formation of a "bad stoma".;1 cl, 7 dwg, 1 ex
机译：技术领域本发明涉及医学，即肿瘤学，泌尿科，并且可以用于根治性治疗膀胱癌的目的。安装了达芬奇外科手术系统的光学，三个机器人和两个辅助套管针，形成了输尿管的识别和解剖，根尖解剖，肠内吻合和Bricker尿道造口术。光学套管针位于脐和剑突之间的距离的中间。第一个机器人套管针R1安装在进一步切除尿道造口术的区域中，第二个机器人套管针R2安装在距第一个骨右上方8厘米的位置，第三个机器人套管针R3 –左侧距第8个距离在肚脐处距光学套管针1厘米。将第一副12 mm As1套管针放置在腋前线上左骨上方2 cm处，将第二副5 mm As2套管针沿着第三机械手线上方的腋前线放置。 the骨和分叉淋巴结清扫术通过将器械置于平行位置进行。膀胱完全动员后进行输尿管切开术，并通过内窥镜吻合器通过12 mm辅助套管针进行肠吻合。 1 cl，7 dwg，1 ex

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