机器人辅助前列腺癌根治术尿控功能的保留专家共识

杂志主页：www.cjmiu.com微创衫尿外科杂志2023年2月第12卷第1期25指机器人辅助前列腺癌根治术尿控功能的保留专家共识韩邦旻”李文智·马鑫2李磊3傅斌·张勇5史本康6魏强？梁朝朝8张旭2·上海交通大学医学院附属第一人民医院泌尿外科，[摘要]尿失禁是前列腺癌根治术(RP)最受关心的并上海2000802中国人民解放军总医院泌尿外科，北京100853发症之一，机器人手术为RP提供了多种人路和术式选择，盆3西安交通大学第一附属医院泌尿外科，西安底结构（神经、血管、肌肉、筋膜等）保留和重建是尿控功能的710061重要基础，机器人手术为结构保留和重建提供了更好的保‘南昌大学第一附属医院泌尿外科，南昌3300065中国医学科学院肿瘤医院泌尿外科，北京100021障。相比开放和腹腔镜手术，机器人手术优势显著，我们国8山东大学齐鲁医院泌尿外科，济南250012家的泌尿外科专家也有诸多的研究成果.但是某些细节存在？四川大学华西医院泌尿外科，成都6100418安撒医科大学第一附属医院泌尿外科，合肥不清晰甚至争议。我们在此编写尿控功能保留专家共识.供230022同道们参考，尤其有利于初学者和青年医师学习。通信作者：韩邦是，hanbm(@163.com[关键词]机器人：前列腺肿瘤[中图分类号]R73725[文献标识码]C收稿日期：2022-12-06[D0I]10.19558/i.cmki.10-1020/r.2023.01.005Expert consensus on preservation of urinary continence in robot-assistedradical prostatectomyHan Bangmin Li Wenzhi Ma Xin Li Lep Fu Bin'Zhang Yongs Shi BenkangWei Qiang Liang Chaozhaos Zhang Xu('Department of Urology,Shanghai General Hospital Affiliated to Shang Jiaotong UniversitySchool of Medicine,Shanghai 200080,China;2Department of Urology,People's Liberation ArmyHospital,Beijing 100853,China;Department of Urology,the First Affiliated Hospital of Xi'an Ji-aotong University,Xi'an 710061,China;Department of Urology,the First Affiliated Hospital ofNanchang University,Nanchang 330006,China;Department of Urology,Cancer Hospital,Chi-nese Academy of Medical Sciences,Beijing 100021,China;Department of Urology,Qilu Hospitalof Shandong University,Jinan 250012,China;'Department of Urology,West China Hospital Sich-uan University,Chendu 610041,China;Department of Urology,the First Affiliated Hospital ofAnhui Medical University,Hefei 230022,China)Corresponding author:Han Bangmin,hanbm@163.comAbstract Urinary incontinence is one of the most concerned complications of radical prostatectomy(RP).Robot-ic surgery provides a variety of surgical approaches and options for RP.Pelvie floor structure (nerves,blood ves-sels,muscles,faseia,ete.)preservation and reconstruction are important foundation for urinary control function.Ro-botic surgery better guarantees the structural preservation and reconstruction.Compared with the open and laparo-scopic surgery.robotic surgery has significant advantages.and specialists in urology in our country have many re-search outcomes as well.However.some details are unclear and even controversial.We have compiled an expert con-sensus on urinary control function retention for the reference of our peers,especially for beginners and young doctors.Key words robot:prostatic neoplasms1尿控功能的个体化评估后尿控的定义、评估标准和分类仍然缺乏一致机器人辅助前列腺癌根治术(robot-assisted性。结合国内外文献，本共识建议即刻尿控定义radical prostatectomy,RARP)在国内已得到广泛为拔除导尿管后7d内每日使用安全尿垫≤1开展，但如何提高患者术后即刻及早期尿控仍是块[山，早期尿控定义为术后1个月内每日使用安目前RARP面临的重要问题。目前各中心对术全尿垫≤1块1。