机械人辅助泌尿外科手术

简介:什么是机器人辅助泌尿外科手术?

机器人辅助泌尿外科手术涉及使用机器人技术执行各种泌尿外科手术,以治疗泌尿道疾病,包括肾脏、输尿管、膀胱和男性的前列腺。 这是代替传统开放手术的微创手术。

机器人辅助泌尿手术是通过腹腔镜进行的,这意味着医生只需要开一个锁孔般大小的切口。 机器人辅助手术更精确,也可减少对周围组织的破坏,从而改善和提高某些泌尿外科手术的结果。

通过锁孔般大小的切口、机器人辅助泌尿手术带来的优点包括更清晰的视线和更灵活的手术工具,让手术更加安全。研究显示, 机器人辅助泌尿手术与开发式手术相比, 其优点包括失血少、住院时间短、并发症发生率低和恢复得快。

林诗杰医生曾是樟宜综合医院先进外科中心的前主任,该中心专门处理复杂手术(包括机器人辅助手术)。 他在三代不同的达芬奇机器人手术系统上进行过手术,并且是新加坡首批使用最新一代该技术进行手术的泌尿科医生之一。 迄今为止,他已经参与了 700 多次机器人辅助手术,并且是新加坡第一个进行机器人辅助保留 Retzius 前列腺切除术的人。 他目前是 CGH 的客座顾问,并经常被邀请在机器人辅助手术方面指导其他同事。

机器人辅助泌尿外科手术可以治疗哪些病症?

机器人辅助手术可用于执行各种泌尿外科手术,例如但不限于:

  • 前列腺切除术:切除部分或全部前列腺。 这手术可用来治疗前列腺癌和较大的良性前列腺增生等病症。
  • 部分或根治性肾切除术:切除部分或全部肾脏。 这可以用来治疗肾癌,以及其他肾脏疾病和损伤。
  • 肾盂成形术:重建肾盂; 通常用于缓解输尿管肾盂连接部阻塞,缓解尿流受阻。
  • 囊肿切除术:如果有临床指征,从肾脏等泌尿器官切除囊肿。
  • 部分或根治性膀胱切除术:切除部分或全部膀胱。 这可以用来治疗浸略性膀胱癌。 在进行根治性膀胱切除术后,也可以用机器人辅助手术来重建泌尿道。
  • 输尿管植入术:通过重新输定位尿管(将尿液从肾脏输送到膀胱的管道)并再植。

传统开放手术和机器人辅助泌尿外科手术有什么区别?

在开放式手术中,医生需要做一个较大的手术切口,以便外科医生将手伸入体内。 在机器人辅助手术中,医生只需开几个 1 厘米或更小的钥匙孔切口,以便机器人微型仪器通过。 机械人的仪器非常灵巧,好比外科医生的手, 这可提供更高度的运动范围和精度。

此外,在机器人辅助泌尿外科手术中,医生会使用高清三维内窥镜,这可为外科医生提供清晰和放大的视图。这能为外科医生提共更高的操作准确度并减少对健康组织的损坏。

两全其美

林诗杰医生把机器人视为一种手术工具,而外科医生有责任并肩负着为患者选择最合适的工具以获得最佳手术效果。

传统开放手术:

  • 优点: 赋予外科医生的手在体内的好处,有出色的手动灵巧性。
  • 局限性:灵活性有限和二维视觉。

常规腹腔镜手术:

  • 优点: 微创并通过钥匙孔大小的切口进行。
  • 局限: 灵活性有限和二维视觉。


机器人辅助手术可以被认为是结合了传统开放手术和常规腹腔镜手术的优点。 这是通过锁孔大小的切口和放大的 3D 映象和仪器操作的灵巧性,类似于将外科医生的手放在体内。局限性:灵活性有限和二维视觉。

机器人辅助泌尿外科手术有哪些优势?

机器人辅助手术的使用为外科医生提供了更强的灵活性和精确度。 机械人辅助泌尿外科手术也动用较小的切口进入手术部位。机器人辅助泌尿外科手术可为患者带来以下好处。

与开放手术相比,机器人辅助手术的好处包括:

  • 减少术后疼痛
  • 失血少
  • 减少感染风险
  • 住院时间更短s
  • 更快的恢复时间
  • 较小和不太明显的疤痕


与传统腹腔镜手术相比:

  • 根治前列腺切除术中癌症清除、保留泌尿功能和性健康的机率可能更高
  • 肾部分切除术和根治手术的开放手术转化率可能较低,肾缺血时间可能较短。 肾部分切除术中的根治性手术和较短的热缺血时间。

机器人辅助泌尿外科手术的成功率是多少?

一般来说,治愈率与开放手术相似。 然而,患者的康复时间更快。

常问问题

Robotic urologic surgery is a minimally invasive procedure that employs robotic technology to address and treat a number of urological conditions, including cancer. 机器人手术 can be utilised to carry out several urinary procedures, such as prostatectomy (removal of all or part of the prostate gland), nephrectomy (removal of all or part of the kidney), and cystectomy (removal of all or part of the bladder). This robotic technique can also be used to reconstruct the renal pelvis (pyeloplasty), and reimplant the ureters (ureteral implantation).

For more information, including some myths and facts about robotic surgery, feel free to browse our platform or reach out to our friendly team.

With its innovative technology, robotic urologic surgery in Singapore has transformed healthcare, allowing patients to experience many benefits along with fewer complications and shorter recovery times.

Here are some of the key 机器人手术的好处:

  • Safe and effective (enhanced freedom of movement to facilitate the surgery)
  • Less post-operative pain (minimally invasive procedure)
  • Smaller scars (due to keyhole-sized incisions)
  • Shorter hospital stays

The three most commonly performed robotic urologic surgeries are radical prostatectomy, partial nephrectomy, and pyeloplasty. Radical prostatectomy is a procedure performed to remove all or part of the prostate gland. This is typically carried out to treat prostate cancer. Partial nephrectomy is essentially a kidney-sparing surgery that involves removing a portion of the kidney. This procedure is beneficial in treating kidney cancers and improving the function of the kidneys.

Robotic pyeloplasty, on the other hand, is commonly used to repair ureteropelvic junction obstructions (UPJ). This minimally invasive 机器人手术 is as effective as conventional open surgeries but with smaller incisions and shorter recovery periods. A robotic surgery expert like 林诗杰医生, who has years of experience in handling robotic surgeries, will be able to perform this procedure with enhanced precision and control.

Dr Lim has operated on all three generations of the da Vinci Robotic Surgical System and has been involved in over 700 robotic surgeries! He was also the first urologist in Singapore to perform a robot-assisted Retzius-sparing Prostatectomy. Furthermore, he previously served as a Director at the Changi General Hospital’s Advanced Surgical Centre, which is a committee that deals with complex surgeries, including 机器人手术. Although he is now the Medical Director of Assure 泌尿外科和机器人中心, he is frequently asked to proctor his colleagues and subordinates for his 机器人手术 expertise.

With more freedom of movement and a magnified operative field, 机器人手术 offers enhanced dexterity and precision. These benefits can result in enhanced outcomes for certain laparoscopic surgeries, especially complex ones that require the reconstruction of tissues or organs.

According to a systematic review of 50 studies conducted on robotic-assisted surgery, it was observed that 39 studies showed fewer complications with robotic surgery in comparison to laparoscopic surgery. In addition, as per the findings of the 2015 study conducted by Chandra et al., 机器人手术 increased the success rates of partial nephrectomy by 52%.

If you would like to learn more about robotic surgery and its success rate, as well as the multitude of benefits that come with this type of surgery, do 保持联系 with us at Assure Urology & Robotic Centre to schedule a consultation with one of Singapore’s robotic urologic surgery experts, 林博士.

总结

医生会进行详细的调查,以帮助您了解您的泌尿治疗选择。 如果适合的话,医生会建议通过机器人泌辅助尿外科手术治疗。 总的来说,机器人辅助手术能替代开放手术来治疗大多泌尿疾病。

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