腹腔镜下体腔内构建邢氏新膀胱的长期疗效分析  

Functional analysis of laparoscopic intracorporeal Xing′s neobladder in long-term follow-up

作　　者：王明帅 张世豪 王建文[2] 贾博林 杨飞亚 王文宽 张勇 邢念增 Wang Mingshuai;Zhang Shihao;Wang Jianwen;Jia Bolin;Yang Feiya;Wang Wenkuan;Zhang Yong;Xing Nianzeng(Department of Urology,National Cancer Center,National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100021,China;Department of Urology,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]国家癌症中心,国家肿瘤临床医学研究中心,中国医学科学院北京协和医学院肿瘤医院泌尿外科,北京100021 [2]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《中华医学杂志》2024年第26期2449-2451,共3页National Medical Journal of China

摘　　要：评估腹腔镜下体腔内邢氏新膀胱术后长期生存无复发患者的新膀胱功能。回顾性分析2013年7月至2018年7月于首都医科大学附属北京朝阳医院行腹腔镜下根治性膀胱切除术+体腔内邢氏新膀胱术并长期生存患者的临床资料,总结存活5年以上患者术后排尿功能及肾功能。共17例患者,男15例,女2例,年龄为(55.9±7.6)岁。均由同一手术团队完成。所有手术均顺利完成,手术时间是(340±62)min,17例患者中位随访时间[M(Q_(1),Q_(3))]80(70,96)个月,白天可尿控17例(100%),夜间可尿控13例(76.5%),膀胱中位容量350(200,400)ml,复查均未出现肾积水、肌酐升高等情况。本研究表明邢氏新膀胱术患者术后保持了可接受的尿控状况,膀胱容量良好,长期随访疗效满意。Evaluation of neobladder function in patients with long-term survival and no recurrence after laparoscopic radical cystectomy and intracorporeal Xing′s neobladder.The clinical data of laparoscopic radical cystectomy and intracorporeal Xing′s neobladder in long-term survival patients with bladder cancer treated in Beijing Chaoyang Hospital from July 2013 to July 2018 were analyzed retrospectively.All 17 patients underwent the surgery by the same surgical team,including 15 males and 2 females,whose mean age at the time of operation was(55.9±7.6)years.Thepostoperative urinary function and renal function were summarized.All operations were successfully completed.The mean operative time was(340±62)min.All patients were followed up for a long time,with a median follow-up time of 80(70,96)months,Urinary continence was achieved in 17(100%)casesduring the day and 13(76.5%)cases at night,with a median bladder volume of 350(200,400)ml.All patients had good urinary control after surgery,and no hydronephrosis or creatinine increase was found in reexamination.After the application of Xing′s neobladder operation,the patient maintained acceptable urinary control status after the operation,and the long-term follow-up effect was satisfactory.

关 键 词：膀胱肿瘤 尿控 新膀胱术 长期随访 

分 类 号：R737.14[医药卫生—肿瘤]