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《经腹膜外途径腹腔镜前列腺癌根治术10例临床分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、HainanMedJ,May2014,Voi.25,No.9海南医学2014年5月第25卷第9期doi:10.3969/j.issn.1003—6350.2014.09.0516·临床经验·经腹膜外途径腹腔镜前列腺癌根治术10例临床分析李浩勇,梁培育,周治彦,宋鹏,王声兴,李挺云,符津山,彭晓晖,何书明,许海波,颜毅,欧善际(海南医学院附属医院泌尿外科,海南海口570102)【摘要】目的探讨经腹膜外途径腹腔镜前列腺癌根治术治疗前列腺癌的可行性并观察其疗效。方法回顾分析我科2010年l0月至2013年9月经腹膜外途径腹腔镜前列腺癌根治术治疗10例前列腺癌患者的临床诊治资料。
2、结果本组l0例手术均获得成功,无中转开放手术。手术时间315--495min,平均(416~62)min,术中出血量l51500ml,平均(546~135)ml,3例术后输血4~6U,6例未输血。术后48h内胃肠功能恢复,术后3—5d下床活动,无直肠损伤,l例吻合口尿漏,留置切口引流管8d后漏尿消失。标本切缘阳性3例。3例患者术后半年仍有轻度尿失禁。随访至今,未发现肿瘤局部远处转移;3例患者术后6个月~1年出现生化复发。结论经腹膜外途径腹腔镜前列腺癌根治术是治疗前列腺癌一种安全有效的手术方法,手术创伤小,出血少,并发症少,患者恢复快。【关键词】前列腺癌;腹腔镜;腹膜外途径
3、;前列腺癌根治术【中图分类号】R737.25【文献标识码】A【文章编号】lo03—635O(2O14)O9一l34l—03Clinicalanalysisof10pafien~withprostatecancertreatedbyextraperitoneallaparoscopicradicalprostatectomy./2Hao-yong,LIANGPei-yu,ZHOUZhi-yan,SONGPeng,WANGSheng-xing,LITing-yun,FUJin-shan,PENGXiao-hui,HEShu-ming,XUi一6D,YANYi,OUShan-j
4、i.DepartmentofUrology,theAffiliatedHospitalofHainanMedicalCollege,Haikou570102,Hainan,CHINA【Abstract】ObjectiveToevaluatetheclinicalfeasibilityandeficacyofextraperitoneallaparoscopicradicalprostatectomy(ELRP)inthetreatmentofprostatecancelMethodsTheclinicaldataof10patientswithprostatecan—ce
5、rundergoingELRPfromOctober2010toSeptember2013inourhospitalwasretrospectivelyanalyzed.ResultsAlloperationsweresuccessfulwithoutconvertingtoopensurgery.Theoperativetimerangedfrom315to495rain.(416~62)mininmean.Thebloodlosswas151500m1.withameanof(546~135)m1.Threepatientsreceivedpost-operative
6、transfusion0f4—6U.and6patientsreceivednotransfusion.Thebowelactivitywasrecoveredwith48hoursaftersurgery.Allpatientswereambulant3to5dayspostoperatively.Norectalinjurywasfound.Onecaseofurinaryleakagewasoccurredinthisgroup,andleakageofurinewasdisappearedafterdetainedsuctiontubefor8days,Posi—
7、tivemarginwasfoundin3patients.Urinaryincontinenceoccurredin3casesandimprovedaftersupportivetreatment.Duringthefollowingperiod,threepatientsshowedbiochemicalrecurrence6~12monthsafteroperation,andnolocalrecurrenceordistantmetastasiswerefound.ConclusionELRPissafeandeff
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