论文部分内容阅读
目的 :评价经尿道途径辅助下经脐单孔腹腔镜根治性全膀胱切除术的可行性及其优势。方法 :2014年10~12月,2例男性膀胱癌患者采用多通道套管,在经尿道途径辅助下,行经脐单孔腹腔镜根治性全膀胱切除、双侧盆腔淋巴结清扫及单乳头双输尿管一侧腹壁造口术。操作全部在单孔腹腔镜下进行。收集围手术期及术后资料进行分析。结果:2例手术均顺利完成,无中转常规腹腔镜或开放手术。单孔平均手术时间为4.15 h。术中平均出血量为150 ml,平均术后住院时间为15 d。围手术期内无严重并发症发生。术后病理示2例手术标本切缘均为阴性,平均清扫淋巴结16.5个,前者3/15阳性,后者0/18阳性。结论:经尿道辅助的经脐单孔腹腔镜行全膀胱根治性切除术安全可行。该术式减少了腹腔镜与操作器械之间的相互干扰,降低了手术难度和风险,手术并发症发生率低。
Objective: To evaluate the feasibility and advantage of transurethral one-pass laparoscopic radical cystectomy. Methods: From October to December 2014, 2 cases of male bladder cancer were treated with multi-channel cannula. With the help of transurethral approach, radical cystectomy, bilateral pelvic lymph node dissection and single nipple ureter Side of the abdominal wall ostomy. All operations in a single hole laparoscopic. Perioperative and postoperative data were collected for analysis. Results: All the 2 cases were successfully completed without laparoscopy or open surgery. The average operation time of single hole was 4.15 h. The average intraoperative blood loss was 150 ml, the average postoperative hospital stay was 15 days. Perioperative no serious complications occurred. Postoperative pathology showed 2 cases of surgical specimens were negative margins, the average dissection of lymph nodes 16.5, the former 3/15 positive, the latter 0/18 positive. CONCLUSION: Transurethral single-hole laparoscopic transurethral resection of the whole cystectomy is safe and feasible. The operation reduces the interference between laparoscope and operating instruments, reduces the difficulty and risk of operation, and has a low incidence of surgical complications.