杂志主页：www.cjmiu.com微创泌尿外科杂志2023年2月第12卷第1期13指南规范机器人辅助腹腔镜肾盂成形术专家共识艾星1范阳2葛京平3何卫阳4李学松”刘光香6罗光恒7王坤杰8王龙9杨昆霖5张雪培”朱宏建山1中国人民解放军总医院第七医学中心泌尿外科[摘要]机器人辅助腹腔镜肾孟成形术(RALP)从首北京1007002中国人民解放军总医院第一医学中心泌尿外科，次报道到现在已有20年，它已成为国内外治疗肾孟输尿管连北京100853接部梗阻的主要术式。机器人手术系统的更新送代、外科手3中国人民解放军东部战区总医院泌尿外科，南京术技术的不断进步、护理理念的改变等全面提升了肾孟输尿210002·重庆医科大学附属第一医院泌尿外科，重庆连接部梗阻治疗的质量。相比较传统的开放及腹腔镜手术，400016机器人辅助腹腔镜肾孟成形术在保持90%以上成功率的同5北京大学第一医院泌尿外科，北京100034“南京大学医学院附属鼓楼医院泌尿外科，南京时，明显降低了手术并发症并缩短了恢复期，已成为传统金210008标准的又一挑战。本共识主要聚焦RALP的适应证、常用手?贵州省人民医院泌尿外科，贵阳5500028四川大学华西医院泌尿外科，成都610041术方式及围手术期注意事项。9中南大学湘雅三医院泌尿外科，长沙410013[关键词]机器人手术：肾孟成形术：共识10郑州大学第一附属医院泌尿外科，郑州450052Ⅱ北京市健宫医院泌尿外科，北京100054[中图分类号]R699.2[文献标识码]C[D0I]10.19558/1.cnki.10-1020/r.2023.01.003通信作者：李学松，pineneedle@sina.com收稿日期：2022-11-27Expert consensus on robotic-assisted laparoscopic pyeloplastyAi Xing Fan Yang Ge jingping He Weiyang'Li Xuesong"Liu GuangriangLuo Guangheng'Wang Kunjie Wang Long Yang Kunlin Zhang Xuepei Zhu Hongjian"('Department of Urology,7th Medical Center,People's Liberation Army Hospital,Beijing100700.China;*Department of Urology,the First Medical Center,People's Liberation Army Hos-pital,Beijing 100853,China;Department of Urology,General Hospital of Eastern Theater Com-mand,Nanjing 210002,China;+Department of Urology,the First Affiliated Hospital of ChongqingMedical University,Chongqing 400016,China;Department of Urology,Peking University FirstHospital,Beijing 100034,China;Department of Urology,the Affiliated Drum Tower Hospital ofNanjing University Medical School,Nanjing 210008,China;'Department of Urology,Guizhou Pro-vincial People's Hospital,Guiyang 550002,China;Department of Urology,West China HospitalSichuan University,Chendu 610041;China;Department of Urology,the Third Xiangya Hospitalof Central South University,Changsha 410013,China;Department of Urology,the First Affiliat-ed Hospital of Zhengzhou University,Zhengzhou 450052,China;"Department of Urology,BeijingJiangong Hospital,Beijing 100054,China)Corresponding author:Li Xuesong,pineneedle@sina.comAbstract Robot-assisted laparoscopic pyeloplasty has become one popular surgical method for the treatment ofureteropelvie junction obstruction(UPJO)since it was reported 20 years ago.The update and iteration of robotie surgery system,the continuous progress of surgical technology,and the changed concept of nursing care have compre-hensively improved the quality of UPJO treatment.Compared with traditional open and laparoscopie surgery,robot-assisted laparoscopic pyeloplasty has significantly reduced surgical complications and shortened recovery period whilemaintaining a success rate of more than 90%,which has become another challenge for the traditional gold standard.This consensus mainly focuses on the indications.common surgical approaches.and perioperative precautions of ro-bot-assisted laparoscopic pyeloplasty.Key words robotic surgery:pyeloplasty:consensus
