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目的探讨腹腔镜下全膀胱切除术的手术方法和临床效果。方法2006年1月～2007年6月,腹腔镜下行全膀胱切除术8例,均为浸润性膀胱癌患者。行全膀胱前列腺切除。尿流改道采用回肠膀胱术。结果手术全部成功,手术时间平均8h,出血量平均为164ml,所有病例均未输血,无严重并发症。术后平均随访6个月,肾功能正常,未见肿瘤复发。结论腹腔镜下全膀胱切除术创伤小,出血少,恢复快,是一种安全、有效的治疗方法。
Objective To investigate the surgical method and clinical effect of laparoscopic total cystectomy. Methods From January 2006 to June 2007, laparoscopic total cystectomy was performed in 8 patients, all of whom were patients with invasive bladder cancer. Total cystal prostatectomy. Urinary diversion using ileal bladder surgery. Results All operations were successful. The average operation time was 8 hours and the average amount of bleeding was 164ml. No blood transfusion or serious complications were found in all cases. After an average follow-up of 6 months, normal renal function, no tumor recurrence. Conclusions Laparoscopic total cystectomy is a safe and effective treatment method with less trauma, less bleeding and faster recovery.