经脐三臂法机器人辅助根治性前列腺切除术治疗寡转移性前列腺癌的近期疗效

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中图分类号 R512.91 文献标识码A文章编号 2096-7721（2025）07-1122-06

AbstractObective：Toinvestigatetheshorttclinicaloutcomsoftransumbilcaltrearrobotasistedradicalprosatetomy （TTRARP）foroligometastaticprostatecancer（omPCa）.Methods：10OomPCapatientswhoweretreatedatSichuanProvincialPeople's Hospital from January 2O2O to May 2O23 were selected and divided into the study group （ n =51， receiving TTRARP surgery combined with drug treatment） and the control group （ n= =49，receiving drug treatment）.Prostate-specific antigen （PSA） levels，complication rates，and castration-resistant prostatecancer-free survival （CRPC-fre survival）werecomparedbetwen thetwo groups of patients.Results： One month after intervention，there was no statistically significant diffrence in PSA levels between the two groups （ P* >0.05）， but the average PSA decline rate was higher in the study group than that in the control group （ P <0.05）. One year after intervention，there was no statistically significant difference in PSA levels or the average decline rates between the two groups （ P>0.05 ）. The study group showed slower cumulative riskprogresiotantheontrolgoupandteoverallsurvivalrateashgerintesudygrouptahatinthecontrolgroup.Muiate analysis identified prostatic capsular penetration， ⩾4 metastatic lesions，and Gleason score>8 as independent risk factors for shortened CRPCfreesurvival.Concusio：ARPcanectivelyduePAlevelsndprolongCCfesuialinteshortsplyfor patients with <4 metastases， Gleason score ⩽8 and intact prostatic capsule，but the risk of anastomotic fistula should be concerned. Kev WordsRohot-assisted Surgerv：Radical Prostatertomv： Oligometastatic Prostate Cancer： Clinical Outcome

前列腺癌是全球范围内男性常见的恶性肿瘤之前列腺癌（Oligometastatic Prostate Cancer，omPCa）一，其发病率随着人口老龄化不断上升。（剩余10860字）