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目的:总结分析经腹膜外途径腹腔镜前列腺癌根治术的手术经验及术后疗效。方法:回顾性总结2010年3月至2013年3月在我院接受治疗的患者为研究对象,采用腹膜外途径行腹腔镜前列腺癌根治术33例。患者年龄60~78岁,中位年龄69.8岁。术前均病理证实为前列腺癌。T1a~1b4例(12%),T1c14例(42%),T2a-b5例(15%),T2c10例(30%)。结果:观察组与对照组的患者在手术时间以及盆腔引流管保留的时间差异不明显(P<0.05),两组患者中观察组比对照组手术进行除出血量少、肠胃功能恢复比较快以及住院时间少等,差异具有统计学意义(P<0.05)。结论:经腹膜外腹腔镜前列腺根治术是一种比较安全有效地手术方式,值得临床推广应用。
Objective: To summarize and analyze the surgical experience and postoperative efficacy of laparoscopic radical prostatectomy via extraperitoneal route. Methods: A retrospective review of patients treated in our hospital from March 2010 to March 2013 was performed with 33 patients undergoing laparoscopic radical prostatectomy using an extraperitoneal approach. Patients aged 60 to 78 years old, the median age of 69.8 years. Preoperative pathology confirmed as prostate cancer. T1a ~ 1b4 cases (12%), T1c14 cases (42%), T2a-b5 cases (15%), T2c10 cases (30%). Results: There was no significant difference between the observation group and the control group in the operation time and the retention time of the pelvic drainage tube (P <0.05). In both groups, the observation group had less blood loss and gastrointestinal function recovery than the control group Less hospital stay, the difference was statistically significant (P <0.05). Conclusion: Extraperitoneal laparoscopic radical prostatectomy is a safe and effective surgical method, which is worthy of clinical application.