腹腔镜术治疗中叶突出前列腺癌20例报告

发表时间：2014-07-07 浏览次数：1174次

引用：

徐亚文，陈玢屾，徐啊白等.腹腔镜术治疗中叶突出前列腺癌20例报告[J].临床泌尿外科杂志.2013,28(4):260-262

关键词：

腹腔镜术；前列腺癌；中叶突出；

作者：

徐亚文，陈玢屾，徐啊白，郑少波，刘春晓

作者单位：

南方医科大学珠江医院泌尿外科；

出版年份：

2013

期刊页数：

260-262

收录者：

知网

摘要：

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 recommend our experiences of Laparoscopic radical prosratectomy for Large median lobes. Method: Between May 2003 and September ''Oll . '>〕localized prostate cancer patient; with large median lobes underwent Laparoscopic radical prostatectomy. _among them, 8 cases with a protrusion Less than 2 centime- ters underwent dissection posterior ",vall of bladder along the base of median lobes; and 12 cases protrusion more than 2 centimeters underwent a dissection begins along the anterior portion of the、一。sicoprostatic junction trans- versely, then across the mucosa of the median lobe and den-eloped the plane inferiorly before dissect the posterior wall of bladder. Result; Operative time ranged from 80 t)l i0 min,Intraoperative blood lose were about 100 to 900 ml，1 case had a rupture in anterior wall of rectum and repaired intraoperative,Wean cathetcrization time 14 to 20 days.丁he continence rate was 9(‘1 year postoperative. Gonclusion:I_aparoscopic radical prostatectomy is an ef- fective and safe surgery for large median lobes, to deal with median lobes efficiently is the key point.

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