3D腹腔镜下改良膀胱憩室切除术治疗膀胱憩室癌2例临床分析  

Modified 3-dimensional laparoscopic bladder diverticulectomy for bladder diverticular carcinoma in 2 cases

作　　者：赵亚伟[1] 汤磊[1] 马旺[1] 李前跃[1] ZHAO Yawei;TANG Lei;MA Wang;LI Qianyue(Department of Urology Surgery,Xinjiang Production and Construction Crops Hospital,the Second Affiliated Hospital of Shihezi University Schoolof Medicine,Urumqi 830002,China)

机构地区：[1]新疆生产建设兵团医院,石河子大学医学院第二附属医院泌尿外科,乌鲁木齐830002

出　　处：《中华实用诊断与治疗杂志》2020年第9期944-946,共3页Journal of Chinese Practical Diagnosis and Therapy

基　　金：兵团财政科技计划项目(2019AB033)。

摘　　要：目的探讨3D腹腔镜下改良膀胱憩室切除术治疗膀胱憩室癌的临床疗效及安全性。方法 2例膀胱憩室癌患者,均行腹腔镜改良膀胱憩室切除术,术后定期膀胱灌注。观察术中出血量、手术时间和术后并发症发生情况;每3个月复查膀胱镜,观察复发情况。结果 2例手术过程均顺利,术中出血量分别约30、20 mL,手术时间分别约90、50 min。术后第4天拔除导尿管,无漏尿。术后组织病理结果均为膀胱低级别尿路上皮乳头状癌(T1G3)。随访18个月均未复发。结论 3D腹腔镜下改良膀胱憩室切除术治疗膀胱憩室癌疗效确切,手术创伤小。Objective To investigate the outcome and safety of modified 3-dimensional laparoscopic bladder diverticulectomy in the treatment of bladder diverticular carcinoma. Methods Two patients with bladder diverticular carcinoma were performed modified 3-dimensional laparoscopic bladder diverticulectomy, and were observed the intraoperative blood loss, operation lasting time and postoperative complications. Regular bladder irrigation was performed after operation and cystoscopy was done once per three months after operation to observe the recurrence. Results Two patients completed operation successfully in 90 and 50 min, with the intraoperative blood loss of 30 and 20 mL, respectively. The catheter was withdrawn on the 4 th postoperative day, with no leakage of urine. The postoperative pathological results indicated urothelial cancer(T1G3). The 18-month follow-up showed no recurrence. Conclusion The modified 3-dimensional laparoscopic bladder diverticulectomy is effective for bladder diverticular carcinoma, with slight trauma.

关 键 词：膀胱憩室癌 3D腹腔镜 膀胱灌注 

分 类 号：R737.14[医药卫生—肿瘤]