| Autor: |
B. G. Guliev, B. K. Komyakov, R. R. Bolokotov, D. M. Il’in |
| Jazyk: |
ruština |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Vestnik Urologii, Vol 6, Iss 4, Pp 13-20 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2308-6424 |
| DOI: |
10.21886/2308-6424-2018-6-4-13-20 |
| Popis: |
Introduction. The main method of treating patients with muscle invasive bladder cancer remains radical cystectomy (RC). In recent years in RC along with open access are used laparoscopic and robot-assisted approaches.Purpose of research. Describe main steps of robot-assisted RC.Materials and methods. From June 2018 to November 2019 10 patients were underwent robot-assisted RC with intracorporeal orthotopic ileocystoplasty. There were 8 male, and 2 female. Age of patents ranged from 54 to 76 years. Body mass index was 25.6±4.5 kg/м2. Preoperative examination included USI and CT of abdomen and pelvis, lchest CT, laboratory analyses. Procedure performed in Tredelenburg position. RC included next steps: mobilization of distal part of ureters, posterior dissection of bladder, lateral dissection of the bladder, vesicle pedicle is clipped by Hem-o-Lok clips, dorsal venous complex stitch and dissection of the urethra.Results. No conversion to open surgeries. Operative time of RC ranged from 100 to 240 min (mean – 120 min). Blood loss volume ranged from 259 ml to 800 ml (mean 370 ml), and generally blood loss was noted during mobilization of a prostate and a dorsal venous complex. The haemotransfusion was carried out to 3 patients. Morphologic examination is revealed T2 stage in 6 patients, T3 in 4 patients. Three patients also had adenocarcinoma of prostate. Lymph nodes were negative in all patients.Conclusion. Robot-assisted RC is a mini-invasive method for treatment of patients with muscle-invasive bladder cancer. Stage-by-stage approach during performing RC allows to reduce time of operation and quantity intra-and postoperative complications. |
| Databáze: |
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| Externí odkaz: |
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