层面外科技术加腔内悬吊术在经腹入路腹腔镜前列腺癌根治术中的应用  

Application of layered surgical technique and intraluminal suspension in laparoscopic radical prostatectomy via transabdominal approach

作　　者：胡正鲜 武晓杰 肖尚文 徐刚[1] HU Zheng-xian;WU Xiao-jie;XIAO Shang-wen;XU Gang(Department of Urology,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,Shaanxi,CHINA)

机构地区：[1]安康市中医医院泌尿外科,陕西安康725000

出　　处：《海南医学》2022年第23期3031-3034,共4页Hainan Medical Journal

基　　金：陕西省安康市2021年科学技术研究发展指导计划项目(编号:AK2021-SFZC-04)。

摘　　要：目的研究层面外科技术加腔内悬吊术在经腹入路腹腔镜前列腺癌根治术中的临床应用效果。方法选取2021年1月至2022年1月期间安康市中医医院泌尿外科收治的60例拟行根治性前列腺切除术的前列腺癌患者作为研究对象,按随机数表法分为研究组和对照组各30例。对照组患者采用传统经腹入路腹腔镜根治性前列腺切除术,研究组患者在经腹入路腹腔镜前列腺癌根治术中采用层面外科技术加腔内悬吊术。比较两组患者的术中出血量、手术时间、导尿管留置时间、术后肠道排气时间、住院时间、术后尿瘘持续时间、术后尿失禁持续时间、术后24 h与术后48 h的视觉模拟疼痛(VAS)评分及术后并发症发生情况。结果两组患者的手术时间、导尿管留置时间、术后肠道排气时间、住院时间、术后尿瘘持续时间、术后尿失禁持续时间比较差异均无统计学意义(P>0.05),但研究组患者的术中出血量为(290.00±46.00)mL,明显少于对照组的(385.00±52.00)mL,差异有统计学意义(P<0.05);研究组患者术后24 h与术后48 h的VAS评分分别为(4.26±0.24)分、(2.64±0.58)分,明显低于对照组的(6.38±1.06)分、(4.32±0.86)分,差异均有统计学意义(P<0.05);研究组患者术后总并发症发生率为12.50%,明显低于对照组的37.50%,差异有统计学意义(P<0.05)。结论层面外科技术加腔内悬吊术在经腹入路腹腔镜前列腺癌根治术中的应用效果显著,能达到显露清楚,解剖精细的效果,且术中出血量少,术后并发症发生率低,具有临床应用价值。Objective To study the clinical effect of layered surgical technique and intraluminal suspension in laparoscopic radical prostatectomy via transabdominal approach.Methods From January 2021 to January 2022,60 patients with prostate cancer admitted to the Department of Urology,Ankang Hospital of Traditional Chinese Medicine and scheduled for radical prostatectomy were selected as the study subjects.They were divided into the study group and the control group according to the random number table method,with 30 patients in each group.The patients in the control group were treated with laparoscopic radical prostatectomy via transabdominal approach,and the patients in the study group were treated with layered surgical technique and intraluminal suspension in the transabdominal laparoscopic radical prostatectomy.The intraoperative bleeding volume,operation time,retention time of catheter,postoperative intestinal exhaust time,length of hospital stay,postoperative urinary fistula duration,postoperative urinary incontinence duration,Visual Analogue Pain(VAS)scores at 24 h and 48 h after operation,and postoperative complications were compared between the two groups.Results There was no significant difference between the two groups in the operation time,retention time of catheter,postoperative intestinal exhaust time,length of hospital stay,postoperative urinary fistula duration,and postoperative urinary incontinence duration(P>0.05).The intraoperative bleeding volume of the patients in the study group was(290.00±46.00)mL,which was significantly less than(385.00±52.00)mL of the control group(P<0.05).The VAS scores of the patients in the study group were(4.26±0.24)points and(2.64±0.58)points at 24 hours and 48 hours after operation,which were significantly lower than(6.38±1.06)points and(4.32±0.86)points of the control group(P<0.05).The total postoperative complication rate of the study group was 12.50%,which was significantly lower than 37.50%of the control group(P<0.05).Conclusion The application of layered surgical t

关 键 词：腹腔镜 前列腺癌根治术 层面外科技术 腔内悬吊 经腹入路 效果 

分 类 号：R737.25[医药卫生—肿瘤]