腹腔镜下膀胱根治性切除-原位回肠膀胱术与开放手术疗效比较  

Compare of laparoscopic and open surgery for radical cystectomy with orthotopic heal neobladder

作　　者：李海宽[1] 师晓峰[1] 郝卫东[2] 

机构地区：[1]陕西省榆林市第一医院泌尿外科,陕西榆林718000 [2]陕西省绥德县医院综外科,陕西绥德718000

出　　处：《现代仪器与医疗》2015年第5期66-67,84,共3页Modern Instruments & Medical Treatment

摘　　要：目的 :比较腹腔镜下膀胱根治性切除-原位回肠膀胱术与开放手术临床效果。方法 :选取2008年6月至2013年9月收治65例膀胱癌患者,采用随机数字表法将患者分为腹腔镜手术组35例和开放性手术组30例。比较两组患者围术期相关指标以及术后12个月新膀胱功能情况等。结果 :与开放性手术组相比,腹腔镜组并发症发生率明显降低,手术时间明显延长,术中出血量明显降低,肠道功能恢复时间和住院时间明显降低,差异均具有统计学意义(P<0.05)。两组术后12个月膀胱容量、膀胱内压、最大尿流率以及日、夜尿控率等指标两组差异不具有统计学意义。讨论:腹腔镜下膀胱根治性切除—原位回肠膀胱术具有创伤较小,术中出血量少,术后并发症少,且恢复较快等优势。Objective： To compared the clinical effects of laparoscopic and open surgery for radical cystectomy with orthotopic heal neobladder. Methods： From June 2008 to September 2013, 65 bladder cancer patients were selected. The patients were divided into laparoscopic surgery group （n=35） and open surgery group （n=30） by random number table. The related indicators during perioperative and functional situations of new bladder after surgery of the patients in two groups were compared. Results： Compared with open surgery group, the patients in laparoscopic surgery group’ operative time was prolonged significantly, blood loss was decreased significantly, bowel function recovery time and hospital stay was reduced significantly, differences were statistical significance （P〈0.05）. After surgery there was no statistical significance between the two groups of bladder capacity, intravesical pressure, maximum flow rate, date and nocturia control rate. Conclusions： Laparoscopic for radical cystectomy with orthotopic heal neobladder has advantages of small trauma, less blood loss, fewer complications, and faster recovery.

关 键 词：膀胱根治性切除 原位回肠膀胱术 开放性手术 

分 类 号：R694[医药卫生—泌尿科学]