开放和经腹腔镜前列腺癌根治术围手术期的临床差异分析  

Perioperative differences in open radical prostatectomy versus laparoscopic radical prostatectomy

作　　者：李雪梅[1] 季惠翔[1] 潘进洪[1] 方强[1] 周占松[1] 陈志文[1] 

机构地区：[1]第三军医大学西南医院全军泌尿外科研究所,重庆400038

出　　处：《第三军医大学学报》2013年第15期1601-1603,共3页Journal of Third Military Medical University

基　　金：第三军医大学临床创新基金(2010XLC02)~~

摘　　要：目的探讨经腹腔镜前列腺癌根治术较开放性前列腺癌根治术围手术期的优点。方法回顾分析2006年1月至2012年2月我科收治的75例前列腺癌患者的临床资料,对比开放性前列腺癌根治术与经腹腔镜前列腺癌根治术两组患者围术期的临床特征及并发症等。结果经腹腔镜前列腺癌根治术组的患者术中出血量和总输血量以及住院时间显著低于开放性前列腺癌根治术组(P<0.05)。开放性前列腺癌根治术组与经腹腔镜前列腺癌根治术组的总并发症分别为38.7%和18.2%(P<0.05),其中重度并发症分别为6.5%和4.5%(P>0.05)。结论经腹腔镜前列腺癌根治术因创伤小,术中出血量和围手术期输血量显著减少,总并发症率显著减少,最终可能节约了医疗资源。Objective To determine the perioperative advantages in laparoscopic radical prostatectomy compared with open radical prostatectomy.Methods The perioperative clinical characteristics in both groups of laparoscopic radical prostatectomy and open radical prostatectomy were reviewed and statistically investigated.The complications related to operations were recorded and graded according to the severity grading system of surgical complications.Results The blood loss,transfusion and days of hospital stay were significantly less in the group of laparoscopic radical prostatectomy than in the group of open radical prostatectomy.The incidences of total complications were 38.7% vs 18.2%,and the incidences of severe complications were 6.5% vs 4.5% in the groups of open radical prostatectomy and laparoscopic radical prostatectomy,respectively.Conclusion The blood loss,transfusion,complications and days of hospital stay are decreased significantly in minimally invasive prostate cancer surgery.Thus the medical resource is saved eventually.

关 键 词：前列腺癌 前列腺癌根治术 围手术期 并发症 

分 类 号：R619[医药卫生—外科学] R699[医药卫生—临床医学]