论文部分内容阅读
目的总结腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术治疗浸润性膀胱癌的治疗经验。方法回顾分析18例浸润性膀胱癌患者的临床资料,所有患者接受腹腔镜下盆腔淋巴结清扫、全膀胱及前列腺切除、经下腹部小切口取出切除组织并行去带乙状结肠原位新膀胱术。结果腹腔镜根治性膀胱切除术手术时间240～360min,出血量300～500ml;开放去带乙状结肠原位新膀胱术手术时间180～300min、出血量200～400ml。术后5～7d恢复饮食,2周后拔除盆腔引流管,3～4周拔除膀胱造瘘管,4～6周拔除导尿管及双侧输尿管支架管。结论腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术创伤小、出血少、恢复快、疗效确切、并发症少,是浸润性膀胱癌较好的一种治疗方法,具有较好的临床应用价值。
Objective To summarize the experience of laparoscopic radical cystectomy and sigmoid colon neobladder in the treatment of invasive bladder cancer. Methods The clinical data of 18 patients with invasive bladder cancer were retrospectively analyzed. All patients underwent laparoscopic pelvic lymph node dissection and total bladder and prostate resection. The resected tissues were removed through a small incision in the lower abdomen and combined with sigmoid colon in situ neobladder. Results Laparoscopic radical cystectomy surgery time 240 ~ 360min, bleeding 300 ~ 500ml; open to sigmoid colon in situ neobladder surgery time 180 ~ 300min, the amount of bleeding 200 ~ 400ml. The diet was resumed 5 ~ 7 days after operation. The pelvic drainage tube was removed after 2 weeks, the cystostomy tube was removed at 3 ~ 4 weeks, and the catheter and bilateral ureteral stent were removed at 4 ~ 6 weeks. Conclusion Laparoscopic radical cystectomy and sigmoid colon neo-bladder surgery less trauma, less bleeding, rapid recovery, the exact effect, fewer complications, is a better treatment of invasive bladder cancer, has a good clinical value .