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根治性膀胱全切及盆腔淋巴结清扫加尿流改道是治疗肌层浸润性膀胱肿瘤的标准术式。随着手术经验的累积、腔镜技术的发展及诸多的临床及基础研究不断开展,根治性膀胱切除术相关的手术方式也发生了改变。本文就膀胱全切的手术方式、淋巴结的清扫范围、女性是否保留内生殖器、男性保留部分前列腺包膜以及尿流改道方式的选择等作简要讨论。
Radical bladder resection and pelvic lymph node dissection plus urinary diversion is the standard surgical treatment of myometrial invasive bladder cancer. With the accumulation of surgical experience, the development of endoscopic technology and many clinical and basic research continue to carry out, radical cystectomy related surgical methods have also changed. This article briefly discusses the operation method of total curative resection of the bladder, the scope of lymph node dissection, whether or not the female retains the internal genitalia, the preservation of part of the prostate capsule by men, and the choice of urinary diversion route.