urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.25694/URMJ.2018.09.31urmj-302Research ArticleОНКОУРОЛОГИЯРЕКОНСТРУКЦИЯ УРЕТРО-ВЕЗИКАЛЬНОГО АНАСТОМОЗА ПРИ ВЫПОЛНЕНИИ РОБОТ-АССИСТИРОВАННОЙ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ И ЕЕ ВЛИЯНИЕ НА ВОССТАНОВЛЕНИЕ ФУНКЦИИ УДЕРЖАНИЯ МОЧИReconstruction of urethro-vesic anastomosis in the performance of robot-assisted radical prostatectomy and its effect on restoring the function of urine retentionГолубцоваЕлена НиколаевнаGolubtsovaE. N.noemail@neicon.ruТомиловАндрей АлександровичTomilovA. A.noemail@neicon.ruВелиевЕвгений ИбадовичVelievE. I.noemail@neicon.ruРоссийская медицинская академия непрерывного последипломного образования; ГКБ им.С.П.БоткинаRussian FederationГКБ им.С.П.БоткинаRussian Federation20181404202109120125Copyright © Голубцова Е.Н., Томилов А.А., Велиев Е.И., 20212021Голубцова Е.Н., Томилов А.А., Велиев Е.И.Golubtsova E.N., Tomilov A.A., Veliev E.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/302

Широкое внедрение радикальной простатэктомии как основного метода хирургического лечения пациентов страдающих раком предстательной железы обеспечило удовлетворительные онкологические результаты. На сегодняшний день научноисследовательские работы сосредоточены на улучшении функциональных. Все большую актуальность приобретает вопрос восстановления функции удержания мочи в ранние сроки после операции. Робот-ассистированная радикальная простатэктомия демонстрирует доказанные преимущества в сохранении естественной анатомии малого таза и сфинктерного аппарата. Дискутабельным предметом является использование различных техник реконструкции зоны уретро-везикального анастомоза. Описаны варианты реконструкции передней, задней полуокружности уретро-везикального анастомоза и тотальной. В ряде случаев методики дополняют друг друга. Необходимо накопление знаний и опыта с целью оптимизации и стандартизации техники операции для улучшения функциональных результатов и качества жизни пациентов.

The widespread introduction of radical prostatectomy as the main method of surgical treatment of patients with prostate cancer provided satisfactory oncological results. Nowadays, research work is focused on improving the functional. The problem of restoring the function of retention of urine in the early period after the operation is becoming more relevant. Robot-assisted radical prostatectomy demonstrates proven advantages in maintaining the natural anatomy of the pelvis and sphincter apparatus. A discursive subject is the use of various techniques for reconstructing the urethro-vesical anastomosis zone. Variants of reconstruction of anterior, posterior semicircle of urethro-vesic anastomosis and total are described. In a number of cases, the techniques complement each other. It is necessary to accumulate knowledge and experience in order to optimize and standardize the technique of surgery to improve the functional results and quality of life of patients.

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The authors declare that there are no conflicts of interest present.