机器人辅助腹腔镜下根治性前列腺切除术两种入路方式的疗效对比

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中图分类号 R737.25R699文献标识码 A 文章编号 2096-7721（2025）12-2120-06

AbstractObective：Toomparethlinicaloucomesoftwosurgicalaproacsinbotasstedlaparosopicdicalprostatectoy （RALRP）and provide evidence-basedreferences forclinical practice.Methods：104 prostatecancerpatients whoweretreatedat JilinCancerHospitalbetweenJanuary2O andJanuary2025wereenrolledandrandomlydividedintotheexperimentalgroup（ n =52， using anterior approach in RALRP） and the control group （ n =52， using posterior approach in RALRP）. Surgical parameters， urinary continence atdiferentpostoperativestages，complicationrates，andqualityoflife（QoL）werecomparedbetweenthtwogroups. Results：omparedwithtecotrolgouptheexperimentalgroupdsigiiantlyloweritraopeativebloodloss，lssoativetie， shorter catheterization duration and length of hospital stay（ P <0.05）.No statistically significant differences were observed in complication rates or completeurinarycontinence rates at1day（T1），1 month （T2），and 3 months （T3）after catheterremoval （ P* 0.05）. Both groups showedsimilarfuctioalaessmentofcancertherap-prostate （FACT-P）andteOSitmsortfoalthsurey36（SF-36ores before surgery and 3 months after surgery （P>0.05 ），though significant improvements from baseline were observed in the groups at 3 months after surgery （P<0.05） . Conclusion： Anterior and posterior approaches has comparable safety and urinary continence outcomes in RALRP，withfiediprovementsiQLHweer，enterioprochasdvatagsieducingsurgcalt，lodlo recovery duration compared to the posterior approach.

Key WordsRadical Prostatectomy; Laparoscopic Surgery; Robot-asisted Surgery;Surgical Approach

在我国，前列腺癌的发病率位居男性泌尿生殖系统恶性肿瘤之首，且患者数量呈逐年上升趋势[1]根治性手术是当前治疗前列腺癌的主要方式，其中腹腔镜手术因创伤小、术后恢复快等优势，在临床上应用广泛。（剩余7269字）