Hood技术在腹腔镜根治性前列腺切除术中的应用  

Hood technique in laparoscopic radical prostatectomy for prostate cancer

作　　者：祝秀文 雷樟明 朱剑勇 徐毅 叶峰[1] 毛鹏磊 吴心宽 刘玉坤 应俊杰 庄常水 万里军 ZHU Xiuwen;LEI Zhangming;ZHU Jianyong;XU Yi;YE Feng;MAO Penglei;WU Xinkuan;LIU Yukun;YING Junjie;ZHUANG Changshui;WAN Lijun(Department of Urology,Quzhou Affiliated Hospital of Wenzhou Medical University,Quzhou People's Hospital,Quzhou,Zhejiang,324000,China)

机构地区：[1]温州医科大学附属衢州医院(衢州市人民医院)泌尿外科,浙江衢州324000

出　　处：《临床泌尿外科杂志》2024年第12期1118-1122,共5页Journal of Clinical Urology

摘　　要：目的:探讨Hood技术在腹腔镜根治性前列腺切除术中的应用价值及安全性。方法:回顾性分析2021年1月—2022年12月于温州医科大学附属衢州医院行腹腔镜根治性前列腺切除术(laparoscopic radical prostatectomy, LRP)的88例前列腺癌患者的临床资料,根据是否采用Hood技术分为对照组40例和观察组48例,对照组采用常规LRP,观察组采用Hood技术行LRP。比较2组术中相关数据及术后尿控、性功能等。结果:与对照组比较,观察组手术时间显著缩短,差异有统计学意义(P<0.05);观察组引流管留置时间、导尿管留置时间及住院时间短于对照组,差异有统计学意义(P<0.05),2组术后并发症、Gleason评分和尿道切缘阳性率比较,均差异无统计学意义(P>0.05)。观察组导尿管拔除后各时间段尿控正常例数均高于对照组,2组各时间段尿控比较,差异有统计学意义(P<0.05);观察组术后1、3、6个月时男性性功能问卷评分均优于对照组,差异有统计学意义(P<0.05)。结论:与常规LRP相比,联合Hood技术的LRP在不增加前列腺癌患者手术时间、并发症和切缘阳性率的风险上,可缩短住院时间、促进患者尿控和性功能恢复,值得推广。Objective:To explore the application value and safety of Hood technique in laparoscopic radical prostatectomy(LRP).Methods:The retrospective analysis of 88prostate cancer patients undergoing LRP in Quzhou Affiliated Hospital of Wenzhou Medical University from January 2021to December 2022was performed,and these patients were divided into the control group(40cases)and the observation group(48cases)according to whether the Hood technique was applied.The control group used conventional LRP,while LRP with the Hood technique was performed on the observation group.Intraoperative related data and postoperative urinary control and sexual function were compared between the two groups.Results:Compared with the control group,the operation time in the observation group significantly shortened(P<0.05).The drainage tube indwelling time,urinary catheter indwelling time and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in postoperative complications,Gleason score or positive rate of urethral margin between the two groups(P>0.05).The number of normal urinary control cases in each time period after urinary catheter removal in the observation group was higher than that in the control group,and the difference in urinary control in each time period was statistically significant between the two groups(P<0.05).The scores of male sexual function questionnaire in the observation group were better than those in the control group at 1,3and 6months after operation,and the difference was statistically significant(P<0.05).Conclusion:Compared with conventional LRP,LRP combined with Hood technology can shorten the length of hospital stay,promote urinary continence and recovery of sexual function in prostate cancer patients without increasing the risk of operation time,complications and positive resection margin rate,which is worthy of promotion.

关 键 词：前列腺癌 腹腔镜下根治性前列腺切除术 Hood技术 应用价值 

分 类 号：R737.25[医药卫生—肿瘤]