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作 者:刘春晓[1] 沈泽锋 许鹏[1] 徐啊白[1] LIU Chun-xiao,SHEN Ze-feng,XU Peng,XU A-bai(Department of Urology,ZhuJiang Hospital,Southern Medical University,Guangzhou 510280,China)
机构地区:[1]南方医科大学珠江医院泌尿外科,广东广州510282
出 处:《现代泌尿外科杂志》2018年第11期810-813,共4页Journal of Modern Urology
摘 要:膀胱全切后以肠管代膀胱的术式已成为治疗肌层浸润性膀胱癌患者的重要手段,近年来,随着腹腔镜技术的发展及各种术式的不断改进和完善,原位新膀胱术已获得泌尿外科学界越来越多的认可,同时也因对生活质量的提升而被更多的患者所接受。自2000年起,我科开始采用由刘春晓教授在前人基础上发明的全去带乙状结肠原位新膀胱术治疗膀胱癌患者,并积累了一定的临床经验。现报告我科2000年2月—2018年4月对433例患者实施根治性膀胱全切+全去带乙状结肠原位新膀胱术的临床经验,同时分析早、晚期并发症、新膀胱尿流动力学及勃起功能恢复情况。The procedure of using a piece of intestine to replace bladder after radical cystectomy has become an important method for the treatment of patients with muscle invasive bladder cancer. In recent years, with the development of laparoscopic techniques and surgical procedures, neobladder has been widely recognized by urologists, and accepted by more and more patients. Since 2000 ,our department has started to adopt orthotopic detaenial sigmoid neobladder,which was originally created by Professor LIU Chun-xiao, to treat bladder cancer patients, and the outcomes have been satisfactory. Now we report the clinical experience of 433 patients undergoing radical cystectomy and orthotopic detaenial sigmoid neobladder from 2000 to 2018, and analyze the result of early and late complications,neobladder urodynamics and erectile function.
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