CAJ | 학술논문

目的：探讨机器人辅助腹腔镜下行膀胱憩室切除术（RABD）联合单纯前列腺切除术（RASP）的可行性和优越性。方法2013年8月至2014年12月应用 RABD 联合 RASP 治疗良性前列腺增生（BPH）合并巨大膀胱憩室患者3例。前列腺体积分别为100、105、120 ml，术前残余尿分别为100、160、300 ml。膀胱憩室体积平均分别为90、150、280 ml。结果3例手术均获成功，3例手术时间分别为90、110、130 min，术中出血量分别为60、100、120 ml，术后均膀胱冲洗2 d，住院时间分别为7、9、11 d，随访6～14个月无尿失禁及尿潴留发生。结论应用 RABD 联合 RASP 治疗 BPH 合并膀胱憩室患者使手术效率提高，操作更精确，手术更安全，疗效满意。
목적：탐토궤기인보조복강경하행방광게실절제술（RABD）연합단순전렬선절제술（RASP）적가행성화우월성。방법2013년8월지2014년12월응용 RABD 연합 RASP 치료량성전렬선증생（BPH）합병거대방광게실환자3례。전렬선체적분별위100、105、120 ml，술전잔여뇨분별위100、160、300 ml。방광게실체적평균분별위90、150、280 ml。결과3례수술균획성공，3례수술시간분별위90、110、130 min，술중출혈량분별위60、100、120 ml，술후균방광충세2 d，주원시간분별위7、9、11 d，수방6～14개월무뇨실금급뇨저류발생。결론응용 RABD 연합 RASP 치료 BPH 합병방광게실환자사수술효솔제고，조작경정학，수술경안전，료효만의。
Objective To assess the feasibility and superiority of robot-assisted laparoscopic bladder diverticulectomy (RABD)combined with robot-assisted laparoscopic simple prostatectomy (RASP). Methods Three patients with benign prostatic hyperplasia (BPH ) and a secondary large bladder diverticulum were treated by robot-assisted surgery from Aug.2013 to Dec.2014.The prostate calculated volume by transrectal ultrasonography (TRUS)preoperative was 100,105,120 ml,respectively.Value of residual urine was 100, 160,300 ml,respectively. The bladder diverticulum volume calculated by transabdominal ultrasonography (TAUS)preoperative was 90,150,280 ml,respectively.Results All procedures were successfully performed by robotic surgical system.The operative time was 90,110, 130 min,respectively.The estimated blood loss was 60,100,120 ml,respectively.The postoperative bladder irrigation was 2 days.The perioperative hospital time was 7,9,11 days,respectively and urinary incontinence or retention were not founded during the follow up period (6-14 months).Conclusion With the help of robotic surgical system,RABD and RASP can be performed in the same patient sequentially more effective,more precise,more safe,and minimally invasive.