The clinical data of 33 patients who underwent robot-assisted laparoscopic Vattikuti Institute prostatectomy (VIP) in Cancer Hospital of Chinese Academy of Medical Sciences from October 2020 to April 2022 were reviewed and analyzed. Among them, 18 patients received traditional VIP technique and 15 patients received VIP technique with pre-sutured dorsal venous complex (DVC). The ages of the traditional VIP group and the pre-sutured DVC VIP group were (66.1±7.3) and (66.6±5.7) years, respectively. The body mass index (BMI) of the traditional VIP group and the pre-sutured DVC VIP group was (24.3±2.9) and (25.3±2.6) kg/m2, respectively. The medical expenses were (91 797.0±7 029.6) and (87 106.6±7 031.4) yuan, respectively, with no statistical significance (all P>0.05). The operations of all the 33 cases were successfully completed, and no cases were transferred to open surgery. The operation time of traditional VIP group was longer than that of pre-sutured DVC VIP group [(193.0±37.2) vs (171.1±16.1) min]. The amount of intraoperative blood loss was higher than that in the pre-sutured DVC VIP group [(68.3±22.8) vs (44.0±9.1) ml)], all P<0.05. No patients had perioperative blood transfusion, and no patients had complications within 30 days after surgery. All the 33 patients had negative incisal margins. DVC presuture technique can reduce intraoperative bleeding and shorten operative time in robot-assisted laparoscopic VIP radical prostatectomy, and has good curative effect.
回顾分析2020年10月至2022年4月在中国医学科学院肿瘤医院接受机器人辅助腹腔镜下Vattikuti泌尿外科研究所前列腺癌根治术（VIP）的33例患者的临床资料，其中18例采用传统VIP技术，15例采用预缝合阴茎背深静脉丛（DVC）的VIP技术。传统VIP组与预缝合DVC VIP组年龄分别为（66.1±7.3）和（66.6±5.7）岁；体质指数（BMI）分别为（24.3±2.9）、（25.3±2.6）kg/m2；医疗费用分别为（91 797.0±7 029.6）和（87 106.6±7 031.4）元，差异均无统计学意义（均P>0.05）。33例手术均顺利完成，无中转开放病例。传统VIP组手术时间长于预缝合DVC VIP组［（193.0±37.2）比（171.1±16.1）min）］；术中出血量多于预缝合DVC VIP组［（68.3±22.8）比（44.0±9.1）ml）］，均P<0.05，无患者围手术期输血，术后30 d内无患者出现并发症。33例患者切缘均为阴性。DVC预缝合技术在机器人辅助腹腔镜VIP前列腺根治性切除术中能够减少术中出血，缩短手术时间，疗效较好。.