腹膜外途径腹腔镜膀胱全切340例经验(“大家泌尿网”观看手术视频)  

Clinical experience of extraperitoneal laparoscopic radical cystectomy in 340 cases

作　　者：王科[1] 李兆峰 张宗亮[1] 赵凯[1] 尹心宝[1] 朱冠群[1] 王振林[1] 杨瀚 李雪禹 闫学川 王庆雷 蒋在庆 WANG Ke;LI Zhaofeng;ZHANG Zongliang;ZHAO Kai;YIN Xinbao;ZHU Guanqun;WANG Zhenlin;YANG Han;LI Xueyu;YAN Xuechuan;WANG Qinglei;JIANG Zaiqing(Department of Urology,The Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院泌尿外科,山东青岛266000

出　　处：《现代泌尿外科杂志》2024年第9期762-765,共4页Journal of Modern Urology

摘　　要：根治性膀胱全切联合盆腔淋巴结清扫是治疗肌层浸润性膀胱癌和高危非肌层浸润性膀胱癌的标准术式。青岛大学附属医院泌尿外科已为340例膀胱癌患者施行腹膜外途径腹腔镜下膀胱根治性切除术(ELRC),本文就术中腹膜外腔的建立、腹膜外手术空间的扩大及腹膜外途径切除膀胱、清扫淋巴结等手术步骤及如何缩短手术时间、降低手术风险等经验进行总结。腹膜外途径切除膀胱时,术中不破坏腹膜的完整性,保留腹膜的支持、分泌、保护、润滑等作用,不仅能降低并发症的发生率,而且对腹腔脏器影响较小,可为后续治疗提供有利条件。Radical cystectomy combined with pelvic lymph node dissection is the standard procedure for the treatment of muscle invasive bladder cancer and complex non-muscle invasive bladder cancer.Our department has routinely carried out laparoscopic radical cystectomy(ELRC)through the extraperitoneal approach in 340 cases.This article summarizes the establishment of the peritoneal space,the expansion of the peritoneal space,the operation steps of bladder resection and lymph node dissection through the peritoneal channel,and how to shorten the operation time and reduce the difficulty of the operation.During the surgery,the bladder is removed periperitoneally without destroying the peritoneum to preserve the functions of peritoneum support,secretion,protection and lubrication,which has little impact on the abdominal organs,reduces the incidence of complications,and provides favorable conditions for subsequent treatment.

关 键 词：腹膜外 腹腔镜 膀胱癌 并发症 膀胱根治性切除术 

分 类 号：R737.14[医药卫生—肿瘤]