经腹腔途径腹腔镜下前列腺癌根治术(TLRP)与开放性手术的对照研究  

Study of transperitoneal laparoscopic radical prostatectomy(TLRP) and the control of the open operation

作　　者：胡文豪 周小波[2] 

机构地区：[1]宁波市鄞州人民医院泌尿外科,浙江宁波315000 [2]浙江大学医学院附属邵逸夫医院泌尿外科,浙江杭州310016

出　　处：《中国现代医生》2015年第12期12-15,共4页China Modern Doctor

基　　金：浙江省医药卫生一般研究计划(2011KYA091)

摘　　要：目的对比分析经腹腔途径腹腔镜下前列腺癌根治术(TLRP)与开放性手术的治疗效果。方法对来我院诊治的80例前列腺癌患者的临床资料进行回顾性分析,其中腹腔镜组40例行经腹腔途径腹腔镜下前列腺癌根治术,对照组40例行开放性前列腺癌根治术,记录并比较两组患者的手术时间、术中出血量、术后肠功能恢复时间、术后住院时间及并发症情况。结果腹腔镜组手术时间为(326.9±63.5)min,显著长于对照组;腹腔镜组术中出血量达(390.2±67.8)m L,显著少于对照组(P<0.01);腹腔镜组术后肠功能恢复时间为(3.12±0.51)d,显著短于对照组,腹腔镜组住院时间为(8.2±1.3)d,显著短于对照组,差异有显著性(P<0.05)。腹腔镜组术后并发症发生率为10.0%,显著低于对照组的25.0%,差异有显著性(P<0.05)。结论经腹腔途径腹腔镜下前列腺癌根治术(TLRP)和开放性手术均为治疗前列腺癌的有效方法,但经腹腔途径腹腔镜下前列腺癌根治术(TLRP)较开放性手术更具优势,并发症少,值得广泛推广和应用。Objective To compare and analyze the effect of transperitoneal laparoscopic radical prostatectomy （TL RP） and open operation. Methods The clinical data of 80 cases of prostate cancer in our hospital were analyzed retrospec-tively, including 40 cases of laparoscopic group with transperitoneal laparoscopic radical prostatectomy, 40 cases of control group with open prostate cancer,the operation time, bleeding, the operation quantity, postoperative intestinal function recovery time, postoperative hospitalization time and complications were recorded and compared between the two groups. Results The operation time of laparoscopic group was （326.9±63.5） min, was significantly longer than the control group; the amount of bleeding in laparoscopic operation group was reached （390.2±67.8）mL, significantly less than the control group （P〈0.01）; the laparoscopic group postoperative intestinal function recovery time was （3.12±0.51） days, was significantly shorter than that in the control group, the hospitalization time of laparoscopic patients （8.2±1.3） days, was significantly shorter than that in control group, com pared with control group, the difference was significant （P〈0.05）. The incidence of postoperative complications of la paroscopic was 10.0%, significantly lower than the incidence of postoperative complications in 25.0% of control group, the difference was significant （P〈0.05）. Conclusion Transperitoneal laparoscopic radical prostatectomy （TLRP） and open operation are the effective methods for treating prostate cancer, but the transperitoneal laparoscopic radical prostatectomy （TLRP） has more advantages com-pared with open operation, fewer complications, and is worthy of popularization and application.

关 键 词：腹腔镜下前列腺癌根治术(TLRP) 经腹腔途径 开放性手术 并发症 

分 类 号：R737.25[医药卫生—肿瘤]