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目的初步探讨水刀在泌尿外科手术中应用的可行性。方法回顾性分析我院泌尿外科2014年1月至2015年2月13例行水刀辅助手术患者的临床资料,包括手术完成情况、围手术期并发症、随访情况。其中经尿道膀胱肿瘤切除术5例,经尿道前列腺剜除术3例,腹腔镜前列腺癌根治术3例,后腹腔镜肾部分切除术2例。结果应用水刀辅助的13例手术均顺利完成,围手术期无明显并发症发生,初步随访情况良好。结论水刀技术在多种泌尿外科手术中都具有可行性,初期研究显示其安全、有效,远期疗效尚需更大样本的研究及长期随访。
Objective To investigate the feasibility of water knife in urological surgery. Methods A retrospective analysis of our hospital urology from January 2014 to February 2015 13 cases of water knife-assisted surgery in patients with clinical data, including the completion of surgery, perioperative complications, follow-up. Transurethral resection of bladder tumor in 5 cases, transurethral resection of the prostate in 3 cases, laparoscopic radical prostatectomy in 3 cases, laparoscopic partial nephrectomy in 2 cases. Results All the 13 cases assisted by water knife were successfully completed. No significant complications occurred during perioperative period. The initial follow-up was good. Conclusion The waterjet technique is feasible in many kinds of urological surgery. Initial studies have shown that it is safe, effective and need long-term follow-up.