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目的:评价腹腔镜盆腔淋巴结清扫术在治疗膀胱癌中的应用价值。方法:对12例局部浸润性膀胱癌患者在电视腹腔镜下进行盆腔淋巴结清扫手术。结果:12例患者在腹腔镜下共清扫178个淋巴结,其中6个淋巴结有肿瘤细胞;盆腔淋巴结清扫时间30~142 min,平均82 min;出血量30~120 ml,平均58 ml。结论:腹腔镜盆腔淋巴结清扫术治疗膀胱癌是安全、有效的。
Objective: To evaluate the value of laparoscopic pelvic lymph node dissection in the treatment of bladder cancer. Methods: Pelvic lymph node dissection was performed in laparoscopic television in 12 patients with locally invasive bladder cancer. Results: A total of 178 lymph nodes were dissected in 12 patients undergoing laparoscopy. Six of them had tumor cells. The pelvic lymph node dissection time was 30 to 142 minutes (mean 82 minutes). The bleeding volume was 30 to 120 ml (mean, 58 ml). Conclusion: Laparoscopic pelvic lymph node dissection for the treatment of bladder cancer is safe and effective.