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目的:探讨阴茎背深静脉复合体(dorsal vascular complex,DVC)免缝扎技术在腹腔镜下前列腺癌根治术(laparoscopic radical prostatectomy,LRP)中的安全性和优越性。方法:回顾性分析2013年9月~2014年6月在我院行LRP的13例前列腺癌患者的临床资料:7例行DVC免缝扎LRP术,为改良组;另有同期进行的6例常规LRP术,为标准组。比较两组手术时间、出血量、尿管留置时间、术后控尿率等临床指标。结果:改良组手术时间比标准组少(P<0.05),但出血量、尿管留置时间、术后控尿率等指标与标准组相比,差异无统计学意义(P>0.05)。结论:DVC免缝扎技术在LRP中是安全、可行的,能减少手术时间,并在一定程度上改善术后控尿功能,且并不增加出血风险。
Objective: To investigate the safety and superiority of dorsal vascular complex (DVC) technique in laparoscopic radical prostatectomy (LRP). Methods: The clinical data of 13 patients with prostate cancer undergoing LRP in our hospital from September 2013 to June 2014 were analyzed retrospectively: 7 patients undergoing DVC with suture-free LRP were treated with modified LRP, and 6 patients underwent LRP Conventional LRP surgery, the standard group. The clinical parameters of operation time, blood loss, catheter indwelling time and postoperative control of urine were compared between the two groups. Results: The operation time of the modified group was less than that of the standard group (P <0.05), but there was no significant difference between the standard group and the bleeding volume, catheter indwelling time and postoperative control of urine. Conclusions: DVC-free suture technique is safe and feasible in LRP, which can reduce the operation time and improve the postoperative urine control function without increasing the risk of bleeding.