12例腹腔镜全膀胱切除及回肠原位膀胱术的临床分析  

Preliminary experience of laparoscopic radical cystectomy and ileal conduit diversion

作　　者：王明[1] 苟欣[1] 刘朝东[1] 汤召兵[1] 邓远忠[1] 何卫阳[1] 傅劲草[1] 李杰[1] 

机构地区：[1]重庆医科大学附属第一医院泌尿外科,400016

出　　处：《重庆医学》2009年第17期2148-2149,共2页Chongqing medicine

摘　　要：目的探讨腹腔镜下全膀胱切除加回肠新膀胱术的优点。方法比较12例腹腔镜下全膀胱切除术和12例传统的开放性全膀胱切除术的优势。结果腹腔镜手术较传统开放手术的手术时间没有明显差别,而出血量和手术后使用止痛剂的天数却明显减少。腹腔镜手术后进食时间、下床活动时间以及出院时间明显早于开放手术。结论(1)腹腔镜下全膀胱切除术具有创伤小,恢复快等优点;(2)体外完成新膀胱制作后直接与尿道吻合较腹腔镜下吻合具有不影响效果、时间短、并发症少和技术难度不高等优点,易于推广。Objective To summarize the benefits of laparoscopic radical cystectomy and ileal conduit diversion. Methods Twelve cases of bladder cancer were performed laparoscopic radical cystectomy and ileum conduit diversion, 12 cases of bladder cancer were performed traditional open radical cystectomy and ileum conduit diversion. Results The time between laparoscopic radical cystecto- my and the open radical cystectomy had no difference, but blood loss and the time needing analgesics significantly reduced. Compared with open radical cystectomy, the time that could eat and get out of bed activities and discharge significantly reduced after laparoscopic radical cystectomy. Conclusion （1）Laparoscopic radical cystectomy has the advantage of minimal invasion and rapid recovery. （2）The orthotopic neobladder pouch is created by suturing the opened small bowel together to form a new bladder then neobladder--urethral anastomosis were performed in vitro. Compared with laparoscopic neobladder-urethral anastomosis, it is a more simple procedure with less morbidity,and does not requrie advanced technique for operator,so it is easy for advocation.

关 键 词：腹腔镜 膀胱癌 原位膀胱 

分 类 号：R737.14[医药卫生—肿瘤] R730.56[医药卫生—临床医学]