经腹膜外腹腔镜与经腹腔途径前列腺癌根治术的临床应用效果  

Comparison of clinical efficacy between extraperitoneal and transperitoneal laparoscopic radical prostatectomy

作　　者：赵晨晖[1] 崔仁杰 余忠伟[1] 马斌斌[1] ZHAO Chen-hui;CUI Ren-jie;YU Zhong-wei;MA Bin-bin(Department of Urology,Luwan Campus,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院泌尿外科,上海200025

出　　处：《中国肿瘤临床与康复》2020年第8期918-920,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨经腹膜外腹腔镜与经腹腔途径前列腺癌根治术的临床应用效果。方法选取2015年12月至2018年12月间上海交通大学医学院附属瑞金医院卢湾分院收治的120例前列腺癌患者,根据治疗方法不同进行分组,其中,采用经腹腔途径腹腔镜下手术的60例患者纳入对照组,采用经腹膜外腹腔镜下手术的60例患者纳入观察组。比较两组患者手术创伤、术后恢复效果、并发症及尿控满意度。结果观察组患者手术时间、术中出血量、留置尿管时间、胃肠功能恢复时间及住院时间均低于对照组,差异均有统计学意义(均P <0.05)。观察组患者并发症发生率为8.3%,对照组为11.7%,差异无统计学意义(P> 0.05)。拔管时,两组患者尿控满意度比较,差异无统计学意义(P> 0.05)。术后6个月,观察组患者尿控满意度为90.0%,高于对照组的75.0%,差异有统计学意义(P <0.05)。结论与经腹腔途径前列腺癌根治术相比,经腹膜外腹腔镜下根治术治疗前列腺癌患者,具有创伤小、效率高及并发症少的优势,且术后远期尿控效果较好,应用价值较高。Objective To explore the clinical efficacy between extraperitoneal and transperitoneal laparoscopic radical prostatectomy. Methods A total of 120 patients with prostate cancer who were admitted to Luwan Campus,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine from December 2015 to December 2018 were selected. They were divided into two groups based on the surgical approach. Sixty patients undergoing extraperitoneal laparoscopic radical prostatectomy were included in an observation group and 60 patients undergoing transperitoneal laparoscopic radical prostatectomy were included in a control group. The surgical trauma and postoperative recovery,complications and satisfaction with urinary control. Results The duration of surgery,intraoperative blood loss,duration of indwelling catheter,recovery of gastrointestinal function and length of hospital stay were significantly lower in the observation group than in the control group( all P < 0. 05). There was no significant difference in the incidence of complication between the observation group( 8. 3%) and the the control group( 11. 7%,P > 0. 05). Patient satisfaction with urinary control was not significantly different between the two groups during extubation( P > 0. 05). At 6 months after operation,patient satisfaction with urinary control was 90. 0% in the observation group,which was significantly higher than 75. 0% of the control group( P < 0. 05). Conclusion Compared with transperitoneal laparoscopic radical prostatectomy for prostate cancer,extraperitoneal laparoscopic radical surgery has the advantages of little trauma,high efficiency and few complication,and the long-term urinary control is good after surgery with high application value.

关 键 词：前列腺癌根治术 腹膜外 腹腔途径 手术创伤 并发症 尿控满意度 

分 类 号：R737.25[医药卫生—肿瘤]