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目的:探讨经精囊面吊带悬吊膀胱颈技术在腹腔镜前列腺癌根治术中的应用,评价其效果。方法:2013年10月~2014年6月,在12例前列腺癌根治手术中采用经精囊面吊带悬吊膀胱颈技术行膀胱颈离断。记录手术时间、术中出血量、膀胱颈切缘阳性率、术后短期尿控情况及术后并发症的发生。结果:12例患者,平均手术时间(98±21.5)min,平均术中出血量(134±26.4)ml。术后病理报告示膀胱颈切缘均为阴性。术后3个月仅1例发生轻度尿失禁。无尿漏、肾积水等并发症发生。结论:经精囊面吊带悬吊膀胱颈技术用于腹腔镜前列腺癌根治术中膀胱颈的离断安全性好,更好地保留了膀胱颈口,易于其与尿道的吻合,减少了术后并发症的发生。
Objective: To investigate the application of sAGS suspended bladder laparoscopic radical prostatectomy in laparoscopic radical prostatectomy and evaluate its effectiveness. Methods: From October 2013 to June 2014, bladder neck was excised with bladder sling via seminal vesicle strap in 12 cases of radical prostatectomy. The operation time, intraoperative blood loss, positive rate of bladder neck margin, short-term urinary control and postoperative complications were recorded. Results: In 12 patients, the average operation time (98 ± 21.5) min and mean intraoperative blood loss (134 ± 26.4) ml. Postoperative pathology showed bladder neck margin were negative. Only one case had mild urinary incontinence 3 months after operation. Urine leakage, hydronephrosis and other complications occurred. CONCLUSIONS: Seminal bladder sling suspension bladder neck technique is suitable for laparoscopic radical prostatectomy bladder neck disconnection safety, better retention of the bladder neck, easy to coincide with the urethra, reducing postoperative complications Occurrence of the disease.