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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 573 -580. doi: 10.3877/cma.j.issn.1674-3253.2026.05.013

综述

保留神经的机器人辅助前列腺癌根治术中冷热处理对功能恢复的影响研究进展
张宸祺, 陈钰, 冯佩, 高龙, 石国锋, 李绍南, 胡景喜, 曹晓明()   
  1. 030001 太原,山西医科大学第一医院泌尿外科
  • 收稿日期:2025-12-04 出版日期:2026-10-01
  • 通信作者: 曹晓明
  • 基金资助:
    山西省卫生健康委科研课题(2020087)

Advances in the impact of cold versus thermal dissection on functional recovery during nerve-sparing robot-assisted radical prostatectomy

Chenqi Zhang, Yu Chen, Pei Feng, Long Gao, Guofeng Shi, Shaonan Li, Jingxi Hu, Xiaoming Cao()   

  1. Department of Urology, the First Hospital of Shanxi Medical University, Taiyuan, 030001, China
  • Received:2025-12-04 Published:2026-10-01
  • Corresponding author: Xiaoming Cao
引用本文:

张宸祺, 陈钰, 冯佩, 高龙, 石国锋, 李绍南, 胡景喜, 曹晓明. 保留神经的机器人辅助前列腺癌根治术中冷热处理对功能恢复的影响研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(05): 573-580.

Chenqi Zhang, Yu Chen, Pei Feng, Long Gao, Guofeng Shi, Shaonan Li, Jingxi Hu, Xiaoming Cao. Advances in the impact of cold versus thermal dissection on functional recovery during nerve-sparing robot-assisted radical prostatectomy[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(05): 573-580.

在机器人辅助根治性前列腺切除术后,勃起功能障碍和尿失禁仍是前列腺癌患者的常见并发症。保留神经血管束(NVBs)被认为是促进功能恢复至关重要的手术步骤,该技术随着对前列腺解剖结构的深入研究和机器人平台的持续发展而不断进步。然而在NVBs分离过程中,冷处理与热处理技术的优劣迄今仍存争议,相关循证研究近年来持续深入并取得显著进展。本文将对保留神经的机器人辅助前列腺癌根治术中分离NVBs时冷热处理技术及其对功能预后的影响进行综述,旨在为临床医师提供参考。

Erectile dysfunction and urinary incontinence remain common complications following robot-assisted radical prostatectomy (RARP) in patients suffer from prostate cancer. Preservation of the neurovascular bundles (NVBs) is a critical surgical step for promoting functional recovery, with techniques continuously refined through advances in prostatic anatomy research and robotic platforms. However, the relative merits of cold versus thermal dissection of the neurovascular bundles remain controversial, and pertinent evidence-based investigations have advanced considerably in recent years. This review comprehensively examines cold and thermal techniques in NVBs preservation during nerve-sparing RARP and their impact on postoperative functional outcomes, aiming to provide evidence-based references for clinical decision-making.

表1 RARP术中冷热处理对术后功能恢复影响的关键研究比较
文献 研究设计 样本量 技术细节 主要功能结局及定义 随访时间或随访时间点 主要结论
Hofmann等[23](2022) 回顾性非随机队列研究 冷:323例
热:230例
冷:无热分离+PVPs缝扎
热:点触单极电凝(30~40 W)+4 ℃冷水冲洗
勃起功能(ESI,IIEF-5≥15,勃起充盈度百分比>75%综合评估) 冷:52.7个月
热:54.8个月
多变量分析显示,两组勃起功能恢复无显著差异
Pagliarulo等[45](2021) 回顾性队列研究 冷:111例
热:120例
冷:止血夹夹闭PVPs后锐性离断
热:超声刀止血+主动冲洗散热
完全尿控(0尿垫/d)
勃起功能(IIEF-5≥15)
3、12、24个月 短期(3个月)冷处理组勃起功能更优;在12个月和24个月的长期随访中,两组无显著差异
Basourakos等[46](2022) 回顾性队列研究 冷:194例
热:144例
冷:Hem-o-lok夹闭PVPs +剪刀锐性离断
热(无夹):双极电凝PVPs +剪刀锐性离断
尿控(EPIC-CP,0尿垫/d或1尿垫/d)
勃起功能(EPIC-CP,能够性交)
3、9、15、18个月 多变量分析显示,两组在勃起功能、尿控及肿瘤学结局上均无显著差异
Carbin等[47](2025) 回顾性病例系列 138例(仅热) 热(无夹):精准双极/单极电凝(Retzius保留入路) 完全尿控(0尿垫/d)
勃起功能(能够性交)
6周、3、6个月 证实无夹热处理安全性;研究人群中6个月尿控恢复率93.4%,勃起功能恢复率79%
Guimarães等[48](2019) 回顾性匹配队列研究 冷:228例
热:456例
冷:标准经腹膜RARP
热(无夹):腹膜外入路,谨慎使用双极能量
完全尿控(0尿垫/d)
勃起功能(能够性交)
1、3、6、12个月 热处理组显示出显著更优的勃起功能恢复;尿控恢复两组无显著差异
Ahlering等[49](2006) 回顾性队列研究 冷:51例
热:36例
冷:Bulldog夹临时阻断+PVPs缝扎
热:双极电凝
勃起功能(能够完成性交) 3个月 冷处理组短期(3个月)勃起功能恢复率显著更高
Gill等[50](2007) 回顾性队列研究 冷:54例
热:22例
冷:Bulldog夹临时阻断+剪刀锐性离断+ PVPs缝扎
热:超声刀+Hem-o-lok夹
勃起功能(能够性交) 3、6、12、18个月 冷处理组勃起功能较热处理组恢复更优
Fuschi等[4](2025) 前瞻性随机对照试验 冷:97例
热:98例
冷:剪刀锐性离断+Hem-o-lok夹闭PVPs
热:单极/双极点触电凝
完全尿控(0尿垫/d)
勃起功能(IIEF-5≥17)
尿控:15、30、90 d
勃起:30、90、180 d
冷处理组术后早期尿控和勃起功能恢复显著优于热处理组
Ahlering等[51](2008) 回顾性队列研究 500例(初始两组共纳入500例,但各时间点有效样本量不同) 冷:Bulldog夹临时阻断
热:单极或双极电凝
勃起功能(能够性交且效果满意) 3、9、15、24个月 避免热损伤使早期(3~9个月)勃起功能恢复率提高约4.7倍;大部分热损伤患者在24个月内可恢复
Ahlering等[52](2008) 回顾性病例系列 38例(仅热) 热:单极/双极电凝 勃起功能(能够性交且效果满意) 3、9、15、24个月 热损伤导致严重早期神经失用,12~18个月内恢复率极低;但长期(24个月)近2/3患者功能最终恢复
Shin等[53](2020) 回顾性病例系列 105例(仅冷) 冷(无热无夹):筋膜内钝性及锐性分离NVBs,缝扎止血 勃起功能(SHIM ≥21或能够性交) 1、3、6、9、12个月 该冷处理技术安全可行,术后12个月勃起功能恢复率极佳
Chien等[54](2005) 回顾性病例系列 45例(仅冷) 冷(改良无夹):避免单极手术器械的使用,仅对穿透包膜小血管慎用双极电凝 勃起功能(UCLA PCI),功能恢复百分比=(随访期平均性功能得分/术前平均性功能得分)×100% 1、3、6、12个月 该研究中冷处理可实现性功能早期恢复
Beck等[39](2012) 回顾性队列研究 冷:148例(其中TA缝扎:74例,对照:74例) 冷:(1):对PVPs采用"8字"缝扎+Hem-o-lok夹形成张力可调止血结构(TA缝扎组);
(2):Bulldog夹临时阻断+剪刀锐性离断+常规缝扎(对照组)
勃起功能(IIEF-5 ≥15) 9、15个月 该缝扎技术为安全有效的冷处理方法,早期勃起功能恢复两组无显著差异
张雪培等[40](2021) 回顾性病例系列 23例(仅冷) 冷(卷管法):Hem-o-lok夹闭PVPs+剪刀锐性离断,后采用4-0倒刺线缝合PVPs和直肠前壁筋膜使PVPs向内侧翻卷成管样结构 尿控与勃起功能(文中未标准化) 8个月(部分患者) 创新的"卷管法"冷处理技术有望促进功能恢复,需要进一步开展大规模研究以明确该技术的影响
Mattei等[55](2007) 前瞻性病例系列 100例(仅冷) 冷:无能量、无张力侧向入路筋膜间分离,采用2 mm止血夹 完全尿控(0尿垫/d)
勃起功能(IIEF-EF≥17)
4个月 该冷处理技术安全可行,提供优异早期功能恢复
Fagin[56](2007) 回顾性队列研究 300例(文中未明确各组样本量) 冷(系列2 & 3):采用止血夹+钝性及锐性分离NVBs,分别采用后入路及前后联合入路进行分离。
热(系列1):选择性双极电凝
完全尿控(0尿垫/d)
勃起功能(SHIM,能够性交的患者比例)
切缘阴性率
3个月 冷处理带来更优的早期勃起功能恢复,且不损害肿瘤学结局
[1]
Han B, Zheng R, Zeng H, et al. Cancer incidence and mortality in China, 2022[J]. J Natl Cancer Cent, 2024, 4(1): 47-53. DOI: 10.1016/j.jncc.2024.01.006.
[2]
Walsh PC. Anatomic radical prostatectomy: evolution of the surgical technique[J]. J Urol, 1998, 160(6 Pt 2): 2418-2424. DOI: 10.1097/00005392-199812020-00010.
[3]
Steiner MS, Morton RA, Walsh PC. Impact of anatomical radical prostatectomy on urinary continence[J]. J Urol, 1991, 145(3): 512-514. DOI: 10.1016/S0022-5347(17)38382-9.
[4]
Fuschi A, Sequi MB, Al Salhi Y, et al. Comparative analysis of cold versus thermal dissection in nerve-sparing robot-assisted radical prostatectomy[J]. Cancers, 2025, 17(11): 1831. DOI: 10.3390/cancers17111831.
[5]
Lepor H, Gregerman M, Crosby R, et al. Precise localization of the autonomic nerves from the pelvic plexus to the corpora cavernosa: a detailed anatomical study of the adult male pelvis[J]. J Urol, 1985, 133(2): 207-212. DOI: 10.1016/s0022-5347(17)48885-9.
[6]
Walsh PC, Donker PJ. Impotence following radical prostatectomy: insight into etiology and prevention[J]. J Urol, 2017, 197(2S): S165-S170. DOI: 10.1016/j.juro.2016.10.105.
[7]
Walsh PC, Lepor H, Eggleston JC. Radical prostatectomy with preservation of sexual function: Anatomical and pathological considerations[J]. Prostate, 1983, 4(5): 473-485. DOI: 10.1002/pros.2990040506.
[8]
于俊杰, 王军起, 温儒民, 等. 腹腔镜下前列腺癌根治术对非神经源性逼尿肌活动低下的局限性前列腺癌患者术后尿控的影响[J]. 徐州医科大学学报, 2024, 44(4): 285-290. DOI: 10.3969/j.issn.2096-3882.2024.04.009.
[9]
陈明, 卢凯. 机器人辅助前列腺癌根治术手术技术及不同入路的选择[J]. 现代泌尿生殖肿瘤杂志, 2025, 17(6): 361-362. DOI: 10.3870/j.issn.1674-4624.2025.06.001.
[10]
Costello AJ, Brooks M, Cole OJ. Anatomical studies of the neurovascular bundle and cavernosal nerves[J]. BJU Int, 2004, 94(7): 1071-1076. DOI: 10.1111/j.1464-410x.2004.05106.x.
[11]
Tewari A, Takenaka A, Mtui E, et al. The proximal neurovascular plate and the tri-zonal neural architecture around the prostate gland: importance in the athermal robotic technique of nerve-sparing prostatectomy[J]. BJU Int, 2006, 98(2): 314-323. DOI: 10.1111/j.1464-410x.2006.06266.x.
[12]
Savera AT, Kaul S, Badani K, et al. Robotic radical prostatectomy with the "veil of Aphrodite" technique: histologic evidence of enhanced nerve sparing[J]. Eur Urol, 2006, 49(6): 1065-1074. DOI: 10.1016/j.eururo.2006.02.050.
[13]
Eichelberg C, Erbersdobler A, Michl U, et al. Nerve distribution along the prostatic capsule[J]. Eur Urol, 2007, 51(1): 105-111. DOI: 10.1016/j.eururo.2006.05.038.
[14]
Walz J, Burnett AL, Costello AJ, et al. A critical analysis of the current knowledge of surgical anatomy related to optimization of cancer control and preservation of continence and erection in candidates for radical prostatectomy[J]. Eur Urol, 2010, 57(2): 179-192. DOI: 10.1016/j.eururo.2009.11.009.
[15]
Takenaka A, Hara R, Soga H, et al. A novel technique for approaching the endopelvic fascia in retropubic radical prostatectomy, based on an anatomical study of fixed and fresh cadavers[J]. BJU Int, 2005, 95(6): 766-771. DOI: 10.1111/j.1464-410x.2005.05397.x.
[16]
胡毓祺, 张琦. 基于解剖学的机器人辅助根治性前列腺切除手术技术新进展[J]. 浙江医学, 2022, 44(10): 1121-1124. DOI: 10.12056/j.issn.1006-2785.2022.44.10.2021-142.
[17]
Rosenberg JE, Jung JH, Edgerton Z, et al. Retzius-sparing versus standard robot-assisted laparoscopic prostatectomy for the treatment of clinically localized prostate cancer[J]. BJU Int, 2021, 128(1): 12-20. DOI: 10.1111/bju.15385.
[18]
Bonet X, Ogaya-Pinies G, Woodlief T, et al. Nerve-sparing in salvage robot-assisted prostatectomy: surgical technique, oncological and functional outcomes at a single high-volume institution[J]. BJU Int, 2018, 122(5): 837-844. DOI: 10.1111/bju.14517.
[19]
Maruo M, Goto Y, Miyazaki K, et al. Novel nerve-sparing robot-assisted radical prostatectomy with endopelvic Fascia preservation and long-term outcomes for a single surgeon[J]. Sci Rep, 2024, 14(1): 926. DOI: 10.1038/s41598-024-51598-3.
[20]
Spirito L, Chessa F, Hagman A, et al. Long-term oncological outcomes after nerve-sparing robot-assisted radical prostatectomy for high-risk localized prostate cancer: a single-center, two-arm prospective study[J]. Diagnostics (Basel), 2024, 14(8): 803. DOI: 10.3390/diagnostics14080803.
[21]
Lyons SD, Law KS. Laparoscopic vessel sealing technologies[J]. J Minim Invasive Gynecol, 2013, 20(3): 301-307. DOI: 10.1016/j.jmig.2013.02.012.
[22]
Shintani K, Uemura T, Takamatsu K, et al. Protective effect of biodegradable nerve conduit against peripheral nerve adhesion after neurolysis[J]. J Neurosurg, 2018, 129(3): 815-824. DOI: 10.3171/2017.4.JNS162522.
[23]
Hofmann M, Huang E, Huynh LM, et al. Retrospective concomitant nonrandomized comparison of "touch" cautery versus athermal dissection of the prostatic vascular pedicles and neurovascular bundles during robot-assisted radical prostatectomy[J]. Eur Urol, 2022, 81(1): 104-109. DOI: 10.1016/j.eururo.2021.07.005.
[24]
Han JH, Park DH, Kim H, et al. Feasibility, safety, and functional outcomes of pelvic hypothermia induced using a rectal cooling device during robot-assisted radical prostatectomy: a phase I/II trial[J]. J Endourol, 2023, 37(4): 407-413. DOI: 10.1089/end.2022.0560.
[25]
Artibani W, Cacciamani G. Is the choice between clips and No clips or cautery and No cautery still a dilemma in robot-assisted radical prostatectomy?[J]. Eur Urol Open Sci, 2022, 44: 76-77. DOI: 10.1016/j.euros.2022.08.010.
[26]
Hefermehl LJ, Largo RA, Hermanns T, et al. Lateral temperature spread of monopolar, bipolar and ultrasonic instruments for robot-assisted laparoscopic surgery[J]. BJU Int, 2014, 114(2): 245-252. DOI: 10.1111/bju.12498.
[27]
Siracusano S, Marchioro G, Scutelnic D, et al. Measuring thermal spread during bipolar cauterizing using an experimental pneumoperitoneum and thermal sensors[J]. Front Surg, 2023, 10: 1115570. DOI: 10.3389/fsurg.2023.1115570.
[28]
Khan F, Rodriguez E, Finley DS, et al. Spread of thermal energy and heat sinks: implications for nerve-sparing robotic prostatectomy[J]. J Endourol, 2007, 21(10): 1195-1198. DOI: 10.1089/end.2007.9908.
[29]
Mandhani A, Dorsey PJ Jr, Ramanathan R, et al. Real time monitoring of temperature changes in neurovascular bundles during robotic radical prostatectomy: thermal map for nerve-sparing radical prostatectomy[J]. J Endourol, 2008, 22(10): 2313-2317. DOI: 10.1089/end.2008.9712.
[30]
Ong AM, Su LM, Varkarakis I, et al. Nerve sparing radical prostatectomy: effects of hemostatic energy sources on the recovery of cavernous nerve function in a canine model[J]. J Urol, 2004, 172(4 Pt 1): 1318-1322. DOI: 10.1097/01.ju.0000139883.08934.86.
[31]
Mikami J, Ito J, Kohada Y, et al. Hydrodissection performed safely with an injection catheter during robot-assisted radical prostatectomy[J]. Arab J Urol, 2023, 21(2): 126-128. DOI: 10.1080/2090598X.2022.2146222.
[32]
Delibegović S, Iljazović E, Katica M, et al. Tissue reaction to absorbable endoloop, nonabsorbable titanium staples, and polymer Hem-o-lok clip after laparoscopic appendectomy[J]. JSLS, 2011, 15(1): 70-76. DOI: 10.4293/108680811X13022985131336.
[33]
Bajric A, Delibegovic S, Cickusic E, et al. Tissue reaction and the formation of adhesion after the use of DS clip in laparoscopic appendectomy[J]. JSLS, 2021, 25(4): e2021.00063. DOI: 10.4293/JSLS.2021.00063.
[34]
Cormio L, Massenio P, Lucarelli G, et al. Hem-o-lok clip: a neglected cause of severe bladder neck contracture and consequent urinary incontinence after robot-assisted laparoscopic radical prostatectomy[J]. BMC Urol, 2014, 14: 21. DOI: 10.1186/1471-2490-14-21.
[35]
Salcı H, Acar H, Taşkapılıoğlu , et al. Electrophysiological evaluation of efficacy of clipping in thoracic sympathectomy: an experimental cadaveric study[J]. Turk Gogus Kalp Damar Cerrahisi Derg, 2020, 28(4): 669-673. DOI: 10.5606/tgkdc.dergisi.2020.19412.
[36]
Candas F, Gorur R, Haholu A, et al. The effects of clipping on thoracic sympathetic nerve in rabbits: early and late histopathological findings[J]. Thorac Cardiovasc Surg, 2012, 60(4): 280-284. DOI: 10.1055/s-0031-1299573.
[37]
Ahlering TE, Eichel L, Chou D, et al. Feasibility study for robotic radical prostatectomy cautery-free neurovascular bundle preservation[J]. Urology, 2005, 65(5): 994-997. DOI: 10.1016/j.urology.2004.11.023.
[38]
Gill IS, Ukimura O, Rubinstein M, et al. Lateral pedicle control during laparoscopic radical prostatectomy: refined technique[J]. Urology, 2005, 65(1): 23-27. DOI: 10.1016/j.urology.2004.10.045.
[39]
Beck SM, Skarecky D, Miller S, et al. Athermal tension adjustable suture ligation of the vascular pedicle during robot-assisted prostatectomy[J]. J Endourol, 2012, 26(7): 834-837. DOI: 10.1089/end.2011.0063.
[40]
张雪培, 朱照伟, 王声政, 等. 卷管法保留血管神经束的达芬奇机器人前列腺癌根治术("大家泌尿网"观看手术视频)[J]. 现代泌尿外科杂志, 2021, 26(1): 1-4. DOI: 10.3969/j.issn.1009-8291.2021.01.001.
[41]
Alsaid B, Karam I, Bessede T, et al. Tridimensional computer-assisted anatomic dissection of posterolateral prostatic neurovascular bundles[J]. Eur Urol, 2010, 58(2): 281-287. DOI: 10.1016/j.eururo.2010.04.002.
[42]
Reeves F, Battye S, Borin JF, et al. High-resolution map of somatic periprostatic nerves[J]. Urology, 2016, 97: 160-165. DOI: 10.1016/j.urology.2016.08.027.
[43]
Yoon Y, Jeon SH, Park YH, et al. Visualization of prostatic nerves by polarization-sensitive optical coherence tomography[J]. Biomed Opt Express, 2016, 7(9): 3170-3183. DOI: 10.1364/BOE.7.003170.
[44]
Seddon HJ. A classification of nerve injuries[J]. BMJ, 1942, 2(4260): 237-239. DOI: 10.1136/bmj.2.4260.237.
[45]
Pagliarulo V, Alba S, Gallone MF, et al. Athermal versus ultrasonic nerve-sparing laparoscopic radical prostatectomy: a comparison of functional and oncological outcomes[J]. World J Urol, 2021, 39(5): 1453-1462. DOI: 10.1007/s00345-020-03351-4.
[46]
Basourakos SP, Zhu A, Lewicki PJ, et al. Clipless robotic-assisted radical prostatectomy and impact on outcomes[J]. Eur Urol Focus, 2022, 8(5): 1176-1185. DOI: 10.1016/j.euf.2021.06.010.
[47]
Carbin DD, Antonoglou G, Harmouche C, et al. Clipless robot-assisted Retzius-sparing radical prostatectomy: a study on its safety profile and outcomes[J]. J Rob Surg, 2025, 19(1): 141. DOI: 10.1007/s11701-025-02321-5.
[48]
Guimarães GC, Oliveira RAR, Santana TBM, et al. Comparative analysis of functional outcomes between two different techniques after 1088 robotic-assisted radical prostatectomies in a high-volume cancer center: a clipless approach[J]. J Endourol, 2019, 33(12): 1017-1024. DOI: 10.1089/end.2019.0361.
[49]
Ahlering TE, Skarecky D, Borin J. Impact of cautery versus cautery-free preservation of neurovascular bundles on early return of potency[J]. J Endourol, 2006, 20(8): 586-589. DOI: 10.1089/end.2006.20.586.
[50]
Gill IS, Ukimura O. Thermal energy-free laparoscopic nerve-sparing radical prostatectomy: one-year potency outcomes[J]. Urology, 2007, 70(2): 309-314. DOI: 10.1016/j.urology.2007.03.072.
[51]
Ahlering TE, Rodriguez E, Skarecky DW. Overcoming obstacles: nerve-sparing issues in radical prostatectomy[J]. J Endourol, 2008, 22(4): 745-750. DOI: 10.1089/end.2007.9834.
[52]
Ahlering TE, Eichel L, Skarecky DW. Evaluation of long-term thermal injury using cautery during nerve sparing robotic prostatectomy[J]. Urology, 2008, 72(6): 1371-1374. DOI: 10.1016/j.urology.2007.11.101.
[53]
Shin TY, Lee YS. Robot-assisted radical prostatectomy with clipless intrafascial neurovascular bundle-sparing approach: surgical technique and one-year functional and oncologic outcomes[J]. Sci Rep, 2020, 10(1): 17595. DOI: 10.1038/s41598-020-74513-y.
[54]
Chien GW, Mikhail AA, Orvieto MA, et al. Modified clipless antegrade nerve preservation in robotic-assisted laparoscopic radical prostatectomy with validated sexual function evaluation[J]. Urology, 2005, 66(2): 419-423. DOI: 10.1016/j.urology.2005.03.015.
[55]
Mattei A, Naspro R, Annino F, et al. Tension and energy-free robotic-assisted laparoscopic radical prostatectomy with interfascial dissection of the neurovascular bundles[J]. Eur Urol, 2007, 52(3): 687-694. DOI: 10.1016/j.eururo.2007.05.029.
[56]
Fagin R. Da Vinci prostatectomy: athermal nerve sparing and effect of the technique on erectile recovery and negative margins[J]. J Robot Surg, 2007, 1(2): 139-143. DOI: 10.1007/s11701-007-0012-3.
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