腹腔镜根治性膀胱癌切除术中标准盆腔淋巴结切除的手术改进  

Application of modified pelvic lymphadenectomy in laparoscopic radical cystectomy

作　　者：王守强 李炯明[1] 刘建和[1] 王光[1] 李沛[1] 石鑫[1] 段飞 Prashant Wang shouqiang;Li Jiongming;Liu Jianhe;Wang Guang;Li Pei;Shi Xing;Duan Fei;Prashant(Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院泌尿外科,昆明650101

出　　处：《中华腔镜泌尿外科杂志（电子版）》2020年第3期212-214,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨腹腔镜根治性膀胱癌切除术中标准盆腔淋巴结切除手术方法的改进及疗效。方法回顾性分析2013年2月至2019年12月,采用自行设计和改进的方法对腹腔镜根治性膀胱切除患者进行标准盆腔淋巴结切除的临床资料。本组145例中,男性133例,女性12例。临床分期T1期9例,T2期105例,T3期31例。结果所有患者均按改进的手术方法完成了标准盆腔淋巴结切除,术中出血平均25 ml。双侧盆腔淋巴结切除时间35~62 min,平均42 min。清除的淋巴结8~32枚,平均16.3枚。术中术后均未输血。结论通过对手术方法的优化和改进,可有效的减少标准盆腔淋巴结切除术中的出血,提高盆腔淋巴结切除的彻底性,降低手术的并发症。Objective To explore the efficacy of improved standard pelvic lymphadenectomy during laparoscopic radical cystectomy.Methods From February 2013 to December 2019,a retrospective analysis of patients with bladder cancer who underwent laparoscopic cystectomy and improved standard pelvic lymphadenectomy was perfromed.Of the 145 cases in this group,133 were male and 12 were female.Nine patients were clinically staged T1,105 cases were T2,and 31 cases were T3.Results All patients underwent standard pelvic lymphadenectomy with improved surgical methods,and no massive blood loss occurred during the operation,average intraoperative blood loss was 25 ml.Time of bilateral lymphadenectomy was 35-62 minutes,with an average of 42 minutes.8-32 lymph nodes cleared,average 16.3.No blood transfusion was required during the operation.Conclusions By optimizing and improving the surgical method,it can effectively reduce the bleeding during standard pelvic lymphadenectomy,improve the thoroughness of pelvic lymphadenectomy,and reduce the complications of surgery.

关 键 词：膀胱癌 腹腔镜 根治性手术 淋巴结切除 层面解剖 

分 类 号：R737.14[医药卫生—肿瘤]