论文部分内容阅读
目的:介绍腹腔镜术治疗中叶突出前列腺癌的临床经验。方法:采用腹腔镜下前列腺癌根治术治疗中叶突进膀胱三角区的前列腺癌患者20例,其中8例中叶突出2cm以内的患者直接贴腺体切开膀胱后壁;12例中叶突出超过2cm的患者先横行切开中叶表面黏膜,潜行分离并剥出中叶后再行横断膀胱后壁。结果:20例手术均获得成功,平均手术时间135min,术中出血量350ml,1例直肠前壁损伤,平均留置尿管15.7天,术后1年控尿率90%。结论:腹腔镜下前列腺癌根治术适用于中叶突出的前列腺癌,但术中有效地处理中叶是关键。
OBJECTIVE: To introduce the clinical experience of laparoscopic surgery in the treatment of middle prominence prostate cancer. Methods: Twenty patients with prostate cancer were treated by laparoscopic radical prostatectomy in the middle of the bladder with triglyceride. Eight of the 8 patients with mid-lobe protrusion within 2 cm were directly affixed with the gland to incise the posterior wall of the bladder. Twelve patients with mid-lobe protrusion more than 2 cm First rampage incision in the middle of the surface mucosa, sneak separation and stripping the middle of the line after the trans-bladder wall. Results: All the 20 surgeries were successful. The average operation time was 135 minutes. The blood loss was 350ml. One case had anterior rectal wall injury. The mean indwelling catheter was 15.7 days. The rate of control urine was 90% after one year. CONCLUSIONS: Laparoscopic radical prostatectomy is suitable for medically prominent prostate cancer, but it is critical that mid-operative treatment is effective.