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Сравнительный анализ результатов робот-ассистированной и открытой радикальной цистэктомии

https://doi.org/10.21886/2308-6424-2020-8-1-59-68

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Аннотация

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.

Об авторах

Б. Г. Гулиев
ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России; Центр урологии с робот-ассистированной хирургией Мариинской больницы
Россия

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

тел.: +7 (921)-945-34-80



Р. Р. Болотоков
Центр урологии с робот-ассистированной хирургией Мариинской больницы
Россия

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



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Для цитирования:


Гулиев Б.Г., Болотоков Р.Р. Сравнительный анализ результатов робот-ассистированной и открытой радикальной цистэктомии. Вестник урологии. 2020;8(1):59-68. https://doi.org/10.21886/2308-6424-2020-8-1-59-68

For citation:


Guliev B.G., Bolokotov R.R. Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results. Urology Herald. 2020;8(1):59-68. (In Russ.) https://doi.org/10.21886/2308-6424-2020-8-1-59-68

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