Робот-ассистированная радикальная цистэктомия с кишечной деривацией мочи (обзор литературы)
https://doi.org/10.17650/1726-9776-2020-16-2-135-143
Аннотация
Радикальная цистэктомия (РЦ) остается основным методом оперативного лечения больных мышечно-инвазивным раком мочевого пузыря. В настоящее время при РЦ наряду с открытым активно используется робот-ассистированный доступ. В данном обзоре проведены анализ основных результатов робот-ассистированной РЦ и их сравнение с таковыми после открытой РЦ. Оценены такие параметры робот-ассистированной РЦ, как длительность операции, объем кровопотери, сроки госпитализации больных, 30- и 90-дневные осложнения. Проведен сравнительный анализ результатов экстра- и интракорпоральной деривации мочи, установлены преимущества интракорпорального формирования илеального кондуита и ортотопической цистопластики. Дальнейшее накопление опыта позволяет снизить количество послеоперационных осложнений, особенно высокой степени тяжести по классификации Clavien, и улучшить функциональные результаты робот-ассистированной РЦ.
Ключевые слова
рак мочевого пузыря,
радикальная цистэктомия,
открытая радикальная цистэктомия,
робот-ассистированная радикальная цистэктомия
При поддержке: Без спонсорской помощи
Об авторах
Б. Г. Гулиев
ФГБОУВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России; Центр урологии с робот-ассистированной хирургией СПб ГБУЗ Городская Мариинская больница
Россия
Конфликт интересов: нет
Россия
Бахман Гидаятович Гулиев - профессор кафедры урологии СЗГМУ имени Мечникова, руководитель центра урологии с робот-ассистированной хирургией.
191015 Санкт-Петербург, ул. Кирочная, 41; 191014 Санкт-Петербург, Литейный проспект, 56
Конфликт интересов: нет
Р. Р. Болотоков
Центр урологии с робот-ассистированной хирургией, СПб ГБУЗ Городская Мариинская больница
Россия
Конфликт интересов: нет
Россия
Рустам Р. Болотоков – врач.
191014 Санкт-Петербург, Литейный проспект, 56
Конфликт интересов: нет
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Рецензия
Для цитирования:
Гулиев Б.Г., Болотоков Р.Р. Робот-ассистированная радикальная цистэктомия с кишечной деривацией мочи (обзор литературы). Онкоурология. 2020;16(2):135-143. https://doi.org/10.17650/1726-9776-2020-16-2-135-143
For citation:
Gulie B.G., Bolokotov R.R. Robot-assisted radical cystectomy with urinary intestinal diversion (literature review). Cancer Urology. 2020;16(2):135-143. (In Russ.) https://doi.org/10.17650/1726-9776-2020-16-2-135-143
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