Clinical advances in control strategies for the dorsal venous complex during robot-assisted radical prostatectomy

LI Jin-cheng; FAN Xue-xing; LI Jia-song; LI Gen; YU Yu-hao; ZHANG Geng; WANG Yong

doi:10.11659/jjssx.10E025060

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Clinical advances in control strategies for the dorsal venous complex during robot-assisted radical prostatectomy

Review | 更新时间：2026-07-24

- Clinical advances in control strategies for the dorsal venous complex during robot-assisted radical prostatectomy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 7, Pages: 647-650(2026)
- 作者机构：
  
  1.空军军医大学唐都医院泌尿外科，陕西西安 710038
  2.西安市大兴医院泌尿外科，陕西西安 710082
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E025060
  CLC： R699.8
- Received：21 October 2025，
  
  Online First：24 July 2026，
  
  Published：25 July 2026
- 稿件说明：
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李金城,范雪行,李嘉松等.机器人辅助根治性前列腺切除术中背静脉复合体控制策略的临床进展[J].局解手术学杂志,2026,35(07):647-650.

LI Jin-cheng,FAN Xue-xing,LI Jia-song,et al.Clinical advances in control strategies for the dorsal venous complex during robot-assisted radical prostatectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(07):647-650.
李金城,范雪行,李嘉松等.机器人辅助根治性前列腺切除术中背静脉复合体控制策略的临床进展[J].局解手术学杂志,2026,35(07):647-650. DOI： 10.11659/jjssx.10E025060.

LI Jin-cheng,FAN Xue-xing,LI Jia-song,et al.Clinical advances in control strategies for the dorsal venous complex during robot-assisted radical prostatectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(07):647-650. DOI： 10.11659/jjssx.10E025060.

摘要

前列腺癌是全球男性第二大常见恶性肿瘤。对于局限性前列腺癌，根治性前列腺切除术是主要治疗手段。术中背静脉复合体（DVC）的处理尤为关键，直接影响手术安全性、出血量以及术后尿控和性功能恢复等重要临床结局。随着机器人辅助腹腔镜技术的普及，DVC的结扎技术不断革新，形成了多样化的处理策略。本文基于DVC的解剖学基础，系统综述当前机器人辅助根治性前列腺切除术（RARP）中DVC的主要结扎技术及其操作要点和临床效果，并对相关研究证据进行总结，以期为前列腺癌的临床决策提供参考。

Abstract

Prostate cancer is the second most common malignancy among men worldwide. Radical prostatectomy serves as the primary treatment for localized prostate cancer. The management of the dorsal venous complex （DVC） is a critical surgical step， directly influencing key clinical outcomes including surgical safety， blood loss， as well as postoperative recovery of urinary continence and sexual function. With the widespread adoption of robot-assisted laparoscopic techniques， DVC ligation techniques have been continuously evolved， leading to the development of a variety of management strategies. Based on the anatomical foundation of DVC， this article systematically reviews the principal DVC ligation techniques and their operative techniques and clinical outcomes during robot‑assisted radical prostatectomy （RARP）， and synthesizes the relevant research evidence， aiming to provide a reference for clinical decision‑making for prostate cancer.

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references

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