針對肌肉侵犯型膀胱癌，根除性膀胱切除手術應該使用何種術式呢？

10.6666/ClinMed.201808_82(2).0081

魏子鈞

肌肉侵犯型膀胱癌(muscle invasive bladder cancer) ； 剖腹式根除性膀胱全切除手術(open radical cystectomy) ； 機器手臂輔助式腹腔鏡根除性膀胱全切除手術(robot-assisted radical cystectomy)

臨床醫學月刊

82卷2期（2018 / 08 / 31）

450 - 451

繁體中文

針對肌肉侵犯型(深層)膀胱癌muscle invasive bladder cancer (MIBC)或高風險非肌肉侵犯型(淺層)膀胱癌high-risk non-muscle invasive bladder cancer (NMIBC)，根除性膀胱全切除手術(radical cystectomy)都是標準的手術治療方式。過去以傳統剖腹式open radical cystectomy (ORC)為主；近年來，由於機器手臂輔助式腹腔鏡手術的盛行，robot-assisted radical cystectomy (RARC)亦成另一主流。針對RARC是否與ORC具有相同的peri-operative outcome、oncological survival outcome等，目前仍缺乏level I的證據。整體而言，術後併發症、surgical margin、survival等，RARC與ORC並無顯著差別。在住院天數、出血量、術後排氣、傷口及呼吸等併發症，RARC似乎有優勢，但手術時間與金錢花費卻也更多。

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