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目的探讨腹腔镜下全膀胱切除术疗效及早期并发症。方法 60例浸润性膀胱癌的患者按患者手术类型分为研究组(腹腔镜)和对照组(开腹手术),各30例。对比研究组和对照组手术时间、手术出血量、术后肠道恢复时间、术后住院时间及术后并发症。结果研究组和对照组手术时间、手术出血量、术后肠道恢复时间、术后住院时间差异有统计学意义(P<0.05)。研究组和对照组术后并发症发生率分别为16.7%、33.3%,差异有统计学意义(P<0.05)。结论相对于传统开腹手术,腹腔镜下全膀胱切除术出血少,术后并发症少。
Objective To investigate the efficacy and early complications of laparoscopic total cystectomy. Methods Sixty patients with invasive bladder cancer were divided into study group (laparoscopic group) and control group (open group) according to the type of operation, with 30 cases in each group. The operation time, operation bleeding volume, postoperative intestinal recovery time, postoperative hospital stay and postoperative complications were compared between the study group and the control group. Results The operation time, blood loss, postoperative intestinal recovery time and postoperative hospital stay in study group and control group were significantly different (P <0.05). The incidence of postoperative complications in study group and control group were 16.7% and 33.3%, respectively, with significant difference (P <0.05). Conclusion Compared with the traditional laparotomy, laparoscopic total cystectomy less bleeding, less postoperative complications.