腹膜外途径腹腔镜前列腺癌根治术的临床体会  

Clinical experience of extraperitoneal laparoscopic radical prostatectomy

作　　者：李军[1] 张雪培[1] 王智勇[1] 李蒙[1] 陶金[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,450052

出　　处：《中国实用医刊》2013年第11期53-55,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨经腹膜外途径腹腔镜前列腺癌根治术的临床疗效及手术技巧。方法回顾性分析2010年3月至2012年3月在我院行腹腔镜前列腺癌根治术的18例患者的临床资料。观察手术时间、术中出血量、输血率、术后控尿率及生化复发率等。结果18例手术均获得成功，无一例中转开放手术。手术时间110～370min，平均205min；出血量200～600ml，平均325ml。术后3个月和6个月控尿率分别为83．3％和88．9％：术后6个月的生化复发率为5．6％。1例（5．6％）术中损伤直肠，1例（5．6％）患者术后出现尿道狭窄。结论经腹膜外途径腹腔镜前列腺癌根治术是治疗早期局限性前列腺癌的一种安全有效的手术方式。Objective To investigate the clinical efficiency and surgical techniques of extraper- itoneal laparoscopic radical prostatectomy （eLRP）. Methods The clinical data of 18 patients with lo- calized prostate cancer who underwent laparoscopic radical prostatectomy from March 2010 to March 2012 were analyzed retrospectively. Operating time, blood loss, blood transfusion rate, postoperative urinary continence rate and biochemical recurrence rate were monitored. Results The procedure was successful- ly operated in all patients without converting to open approach. Mean operating time was 205 min （ranged from 110 to 370 rain）. Mean blood loss was 325 ml （ranged from 200 to 600 ml）. Postoperative urinary continence rates were 83.3.6% , 88.9% respectively at 3 months and 6 months after operation; the biochemical recurrence rate was 5.6% at 6 months after the operation. One case （5.6%） appeared intraoperative rectal injury, 1 case （5.6%） appeared postoperative urethral stricture. Conclusions Ex- traperitoneal approach laparoscopic radical prostatectomy is a safe and effective procedure for early local- ized prostate cancer.

关 键 词：腹膜外 腹腔镜 前列腺癌根治术 

分 类 号：R737.25[医药卫生—肿瘤]