医学
膀胱切除术
围手术期
外科
横纹肌肉瘤
尿失禁
放射治疗
泌尿科
回顾性队列研究
前列腺
膀胱癌
前列腺切除术
癌症
内科学
肉瘤
病理
作者
Ли Пин,Huixia Zhou,Huifen Cao,Bo Xu,Tao Guo,Wenzhen Zhu,Zhao Yu-hong,Ran Zhuo,Liqian Ma,Xiaoguang Zhou,Tian V. Tian,Zhichun Feng
出处
期刊:Journal of Endourology
[Mary Ann Liebert]
日期:2021-10-01
卷期号:35 (10): 1520-1525
被引量:4
标识
DOI:10.1089/end.2020.1238
摘要
Objective: To present our preliminary experiences of robot-assisted laparoscopic radical or partial cystectomy for bladder/prostate rhabdomyosarcoma (B/P RMS) in children. Methods: A retrospective study was conducted with children who underwent robot-assisted laparoscopic surgery for B/P RMS between July 2018 and March 2020 under the approval of IRB of our center. The patient characteristics, tumor position, perioperative information, short time oncologic survival outcomes, and urinary function were recorded and evaluated. Results: We identified eight children who underwent robot-assisted laparoscopic surgery for B/P RMS. Partial cystectomy was performed on all, but one, patients, who underwent radical cystectomy and sigmoid neobladder reconstruction. Preoperative chemotherapy was administered to all eight patients, while preoperative radiotherapy was conducted in three cases, including one patient with a history of pelvic RMS. Unilateral/bilateral ureteral reimplantation was done in four cases in which the patients' ureteral orifices were involved. The mean follow-up time was 13.3 months, and no local recurrence or metastasis was observed. No patient experienced urinary incontinence eventually. Conclusion: Robot-assisted laparoscopic resection for bladder RMS in children is safe and feasible. Preoperative radiotherapy could decrease the tumor volume so that the membranous urethra could be preserved for as long as possible. The oncologic efficacy and the overall survival rate require further investigation and longer follow-up.
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