Робот-ассистированная цистэктомия с ортотопической везикопластикой при раке мочевого пузыря

Робот-ассистированная цистэктомия с ортотопической везикопластикой при раке мочевого пузыря

Автор: Оганян Вардан Аршавирович, Грицкевич А.А., Симонов А.Д., Полотбек Ж., Мирошкина И.В., Костин А.А.

Журнал: Экспериментальная и клиническая урология @ecuro

Рубрика: Онкоурология

Статья в выпуске: 3 т.15, 2022 года.

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Введение. Рак мочевого пузыря (РМП) занимает 10-е место в мире в структуре онкологических заболеваний. При мышечно-инвазивном раке мочевого пузыря (МИРМП) радикальная цистэктомия (РЦЭ) является стандартным методом лечения. Применение робот-ассистированной цистэктомии (РАЦЭ) в лечении больных РМП позволяет рассматривать ее в качестве альтернативного подхода. Цель обзора - систематизация данных исследований, оценивающих клинические аспекты применения робот-ассистированной цистэктомии с интракорпоральным формированием ортотопического мочевого резервуара. Материалы и методы. Проведен обзор медицинской литературы, опубликованной в период с 2000 г. по 2022 г., с использованием информационно-аналитических систем MEDLINE, Scopus, Clinicaltrials.gov, Google Scholar и Web of Science. Стратегия поиска проводилась в соответствии с критериями PICO (Пациент-Вмешательство-Сравнение-Исход). Для поиска медицинской литературы были использованы следующие ключевые слова: «робот-ассистированная цистэктомия», «РАЦЭ», «ортотопический необладдер», «интракорпоральная РАЦЭ», «экстракорпоральная РАЦЭ», «рак мочевого пузыря», «функциональные исходы» и «клинические исходы». («robot-assisted cystectomy», «RARC», «orthotopic neobladder», «intracorporeal RARC», «extracorporeal RARC», «bladder cancer», «functional outcomes», and «clinical outcomes»). Обзор выполнен в соответствии с контрольным перечнем предпочтительных элементов отчетности для систематических обзоров и метаанализов (PRISMA). Критерий исключения: резюме, обзорные статьи, заметки и комментарии редактора, главы из книг - экспериментальные и лабораторные исследования на животных или трупах. Результаты. Было отобрано 475 оригинальных публикаций, из них в анализ включена 71 оригинальная научная статья по теме исследования. Выявлены преимущества интракорпоральной РАЦЭ в сравнении с открытой РЦЭ и экстракорпоральной РАЦЭ, как на интраоперационном, так и послеоперационном этапах. Функциональные и онкологические исходы пациентов после интракорпоральной РАЦЭ также сопоставимы с РЦЭ и экстракорпоральной РАЦЭ, что свидетельствует об эффективности и безопасности новой хирургической технологии лечения больных РМП. Заключение. В последнее десятилетие отмечается активный переход от традиционных хирургических техник кробот-асситированной (РА) хирургии, которая позволяет выполнить РЦЭ прецизионно, с минимальной травматичностью и интраоперационной кровопотерей.

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Рак мочевого пузыря, робот-ассистированная цистэктомия, рацэ, ортотопический необладдер, интракорпоральная рацэ, экстракорпоральная рацэ, функциональные исходы и клинические исходы

Короткий адрес: https://sciup.org/142236640

IDR: 142236640   |   DOI: 10.29188/2222-8543-2022-15-3-44-54

Список литературы Робот-ассистированная цистэктомия с ортотопической везикопластикой при раке мочевого пузыря

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