References

urovest

Вестник урологии

Urology Herald

2308-6424

Rostov State Medical University

10.21886/2308-6424-2020-8-1-59-68

urovest-306

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

REVIEWS ARTICLE

Сравнительный анализ результатов робот-ассистированной и открытой радикальной цистэктомии

Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results

https://orcid.org/0000-0002-2359-6973

Гулиев

Б. Г.

Guliev

B. G.

Бахман Гидаятович Гулиев — д.м.н., профессор; профессор кафедры урологии; руководитель

тел.: +7 (921)-945-34-80

Bakhman G. Guliev — M.D., Dr. Sc. (M), Full Prof.; Prof., Urology Department; Head

tel.: +7 (921)-945-34-80

gulievbg@mail.ru

https://orcid.org/0000-0002-2184-5809

Болотоков

Р. Р.

Bolokotov

R. R.

Рустам Раифович Болокотов – врач центра урологии с робот-ассистированной хирургией

Rustam R. Bolokotov – M.D.; Urologist

rbolotokovadiga07@rambler.ru

ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России; Центр урологии с робот-ассистированной хирургией Мариинской больницыРоссияNorth-Western State Medical university n.a. I.I. Mechnikov; Urology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky HospitalRussian Federation

Центр урологии с робот-ассистированной хирургией Мариинской больницыРоссияUrology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky HospitalRussian Federation

2020

19042020

815968

2020

Гулиев Б.Г., Болотоков Р.Р.

Guliev B.G., Bolokotov R.R.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.urovest.ru/jour/article/view/306

Радикальная цистэктомия (РЦ) остается основным методом оперативного лечения больных с мышечно-инвазивным раком мочевого пузыря. В настоящее время при РЦ наряду с открытым активно используется робот- ассистированный доступ. В данном обзоре проведен анализ основных результатов робот-ассистированной РЦ (РАРЦ), которые сравнены с таковыми после открытой РЦ. Оценены периоперативные показатели, функциональные и онкологические результатов робот-ассистированной и открытой РЦ. Полученные данные показывают, что при робот-ассистированном доступе наблюдается низкий объем кровопотери и процент гемотрансфузии, но высокая стоимость и длительное время операции. Достоверной разницы в дневной и ночной континенции, и качестве жизни больных, а также онкологических результатах между двумя операциями не было. Дальнейшее накопление опыта позволяет улучшить онкологические и функциональные результаты робот-ассистированной РЦ, снизить количество послеоперационных осложнений, в особенности высокой степени по Клавьену.

Radical cystectomy (RC) remains the main method of surgical treatment of patients with muscle-invasive bladder cancer. Currently, in case of radical cystectomy, along with the open, robot-assisted access is actively used. This review presents an analysis of the main results of a robot-assisted RC (RARC), which are compared with those after an open RC. Perioperative parameters, functional and oncological results of robot-assisted and open RC were evaluated. According to the data obtained, it was found that with robot-assisted access there is a low volume of blood loss and a percentage of blood transfusion, but a high cost and a long operation time. In addition, there was no significant difference in the daytime and nighttime continence, and the quality of life of patients, as well as oncologic results between the two procedures. Further accumulation of experience allows us to improve the oncological and functional results of the robot-assisted RC, as well as to reduce the number of postoperative complications, high degree according to Clavien-Dindo grade especially.

рак мочевого пузырярадикальная цистэктомияоткрытая радикальная цистэктомияробот-ассистированная радикальная цистэктомия

bladder cancerradical cystectomyrobot-assisted radical cystectomyopen radical cystectomy

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The authors declare that there are no conflicts of interest present.