论文部分内容阅读
目的总结腹腔镜根治性膀胱切除术的临床效果。方法2007年6月～2008年10月,10例浸润性膀胱癌患者行腹腔镜根治性切除术,男9例,女1例,平均年龄为65.8岁;回肠新膀胱术9例,Bricker术1例。结果手术全部成功,平均手术时间6.5h(5.5～11h),术中平均出血量210ml(150～400ml)。术后3～4d恢复肠蠕动。1例出现术后尿漏,引流6d后停止。未出现感染、肠粘连和出血等并发症。平均随访4个月,未见肿瘤复发或转移。术后排尿基本正常。结论腹腔镜根治性膀胱切除术创伤小,出血少,恢复快,是一种安全、有效的治疗方法。
Objective To summarize the clinical effect of laparoscopic radical cystectomy. Methods From June 2007 to October 2008, 10 patients with invasive bladder cancer underwent laparoscopic radical resection. There were 9 males and 1 females, with a mean age of 65.8 years. There were 9 cases of ileal neo-bladder surgery, Bricker’s surgery 1 example. Results All operations were successful. The average operation time was 6.5 hours (5.5-11 hours). The mean intraoperative blood loss was 210ml (150-400ml). 3 ~ 4d after surgery to restore bowel movements. One case of postoperative urinary leakage, drainage 6d stop. No infection, intestinal adhesions and bleeding and other complications. The average follow-up of 4 months, no tumor recurrence or metastasis. Postoperative urination basically normal. Conclusions Laparoscopic radical cystectomy is a safe and effective treatment method with less trauma, less bleeding and faster recovery.