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随着腹腔镜技术的发展和器械的改进,其在膀胱癌根治术中得到广泛应用. 其适应证为T2-4a、N0-X、M0 浸润性膀胱癌,高危非肌层浸润性膀胱癌T1 G3 也是其中一个重要指征,同时也包括部分难治性膀胱肿瘤. 腹腔镜下根治性膀胱癌切除术的方法分男、女两种,男性常需要切除前列腺,女性则需要切除子宫. 腹腔镜下原位膀胱的重建方式有多种,其中以原位回肠新膀胱术为主. 目前该术式开展时间不长,大宗病例、多中心的报道较少,虽然近期疗效得到泌尿外科医师的肯定,但是远期疗效尚缺乏系统性研究.“,”With the development of laparoscopic technique and improvement ofthe equipment and instru-ments,the laparoscopy is widely used in bladder cancer radical surgery.The indications are T2-4a ,the N0-X , M0 invasive bladder cancer,and high-risk non-muscularis T1G3 invasive bladder cancer is also one of the important indications, including some refractory bladder tumors.The laparoscopic radical resection of the bladder cancer includes two kinds:men and women,men often need to remove the prostate gland,women need hysterectomy.There are different kinds of in situ reconstruction of bladder under laparoscopy,while orthotopic ileal neobladder is the main method .Laparoscopic radical resection of the bladder cancer has not been practiced for long,therefore there are less reports of large sample and multicenter research .Although the short-term curative effect is confirmed by the urinologists,long-term effectstill needs systematic research.