30Joumal of Minimally Invasive Urology.Feb.2023.Vol 12.No 1必机器人治疗良性前列腺增生专家共识夏丹”注溯」王共先2郭宏骞3王平1徐东亮·!浙江大学医学院附属第一医院余杭[摘要]机器人辅助腹腔镜在泌尿外科领域得到越来越广泛地应用：院区泌尿外科，杭州311121但治疗良性前列腺增生疾病缺乏专家共识和指南指导临床实践。本共识收2南昌大学第一附属医院泌尿外科，南昌330006集中英文数据库中有关机器人治疗良性前列腺增生的文献资料，手术方式南京大学医学院附属就褛医院泌尿主要包括机器人耻骨后单纯前列腺切除术、，机器人经膀胱途径单纯前列腺外科.南京210008·上海中医药大学附属曙光医院泌尿切除术和机器人耻骨后人路保留尿道前列腺切除术三种。前两者不保留前外科，上海201203列腺部尿道.后者保留前列腺部尿道。后者在保留患者尿道的完整性，防治通信作者：夏丹，xiadan@zju.edu.cn逆行射精，保持勃起和性功能方面显示出优异的疗效。机器人治疗良性削列腺增生适合前列腺增生伴有中、重度下尿路症状患者，特别是由于身体条收稿日期：2022-12-05件限制而无法接受经内镜治疗的患者，如尿道下裂或狭窄患者。但由于接受骨盆手术或放射治疗而导致前列腺手术平面封闭的患者，不适合行机器人手术治疗。[关键词]机器人：腹腔镜：前列腺增生：前列腺切除术[中图分类号]R699.8[文献标识码]C[D0I]10.19558/j.cnki.10-1020/r.2023.01.006Expert consensus on robotic therapy for benign prostatic hyperplasiaXia Dan Wang Shuo Wang Gongrian Guo Honggian Wang Ping Xu Dongliang'('Department of Urology,Yuhang District of the First Affiliated Hospital of Zhejiang UniversitySchool of Medicine Hangzhou 311121;2Department of Urology,the First Affiliated Hospital ofNanchang University,Nanchang 330006;3Department of Urology,the Affiliated Drum TowerHospital of Nanjing University Medical School,Nanjing 210008,China;Department of Urology,the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai201203.China)Corresponding author:Xia Dan,xiadan@zju.edu.cnAbstract Robot-assisted laparoscopy is increasingly used in the field of urology,but there is not sufficient ex-pert consensus and guidelines to guide clinical practice in the treatment of benign prostatic hyperplasia.This consensuscollected the literatures on robotie treatment of benign prostatic hyperplasia in both Chinese and English databases.The main surgical options include robot-assisted simple retropubic prostatectomy.robot-assisted transvesical ap-proach simple prostatectomy and robot-assisted urethra-sparing prostatectomy.The prostatic urethra is not retained inthe former two while it is retained in the latter one.The latter has presented excellent efficacy in preserving the integ-rity of the patient's urethra preventing retrograde ejaculation and maintaining erection and sexual function.Robotictreatment of benign prostatic hyperplasia is suitable for patients with moderate to severe lower urinary tract symp-toms especially those who cannot receive endoscopie treatment due to physical limitations such as patients with hypo-spadias or stenosis.However patients whose surgical plane of the prostate are closed due to pelvic surgery or radiationtherapy are not candidates for robotic surgery.Key words robot:laparoscopy:prostate hyperplasia:prostatectomy良性前列腺增生(benign prostatic hyperplaBPH的梗阻性症状包括排尿踌躇、排尿无力、排sia,BPH)是男性最常见的良性肿瘤，在80岁以尿时间延长和尿潴留，以及尿潴留可能导致的充上的男性中，90%可被发现BPH的组织学证盈性尿失禁。BPH导致的膀胱出口梗阻(bladder据。尽管大多数BPH患者无症状，但40%的男outlet obstruction,BOO)可能会引起很多并发性会出现明显的下尿路梗阻或刺激性症状。症，如继发性尿路感染(urinary tract infection,
