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目的:探讨腹腔镜根治性膀胱切除、原位尿流改道术中新膀胱与后尿道的吻合技术及疗效。方法:2010年1月~2014年1月,对46例膀胱癌患者行腹腔镜根治性膀胱切除、原位尿流改道术,采用双针分侧半环形连续缝合法完成新膀胱与后尿道的吻合。结果:新膀胱与后尿道吻合时间18~35min,平均25min。3例术后出现轻度漏尿,2周后愈合。随访2~36个月,平均13个月,患者均获得较好的日间控尿。结论:双针分侧半环形连续缝合法可有效缩短新膀胱与后尿道吻合时间,操作方便易行,术后并发症少,具有较好的推广价值。
Objective: To study the anastomosis technique and curative effect of laparoscopic radical cystectomy and neo-bladder and posterior urethra in the in situ urinary diversion. Methods: From January 2010 to January 2014, 46 patients with bladder cancer underwent laparoscopic radical cystectomy and orthotopic urinary diversion. The double bladder and posterior urethral stricture Anastomosis. Results: The new bladder and posterior urethra anastomosis time 18 ~ 35min, an average of 25min. Three cases of mild leakage of urine, healed after 2 weeks. All cases were followed up for 2 to 36 months, with an average of 13 months. All patients received good daytime urine control. CONCLUSION: The semi-circular continuous suture of double needle can effectively shorten the time of anastomosis between the new bladder and the posterior urethra. The operation is convenient and easy to operate with less postoperative complications and has good promotion value.