Objective: To investigate the application of Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) in the treatment of early-stage prostate cancer.
Methods: We retrospectively analyzed the clinical data about 10 cases of early-stage prostate cancer treated by RS-RARP with the Da Vinci Robot Surgical System from September to October 2016.
Results: All the operations were successfully completed without positive surgical margins. The operation time was 170－250 min (［196±25］ min), the intraoperative blood loss was 150－500 ml (［260±128］ ml), the postoperative hospital stay was 6－7 days, and the catheterization time was 14 days. Urinary continence occurred after catheter removal in 1 patient and was recovered 1 month later.
Conclusions: RS-RARP is a safe, effective and reliable method for the treatment of prostate cancer and conducive to the early recovery of urinary continence.
目的: 探讨保留Retzius间隙的机器人辅助腹腔镜下根治性前列腺切除术的初步应用。方法: 2016年9~10月,入组早期前列腺癌10例，实施保留Retzius间隙的 机器人辅助腹腔镜下根治性前列腺切除术。结果: 10例手术均获成功，手术切缘均为阴性。完成手术时间170~250(196±25) min，术中出血量150~500 (260±128) ml,术后住院日6~7 d，术后拔除导尿管时间14 d,仅1例患者存在尿失禁（每天1块尿垫），术后1个月完全恢复。结论: 保留Retzius间隙的机器人辅 助腹腔镜下根治性前列腺切除术安全、有效、可靠，有利于早期恢复控尿。.
Keywords: Retzius-sparing; laparoscopy; prostate cancer; radical prostatectomy; robot surgical system.