[1]龙兆麟,黄健,华庆生,等.腹腔镜全膀胱切除-原位回肠膀胱术(5例报告)[J].中华腔镜泌尿外科杂志(电子版),2008,(04):12-14.
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腹腔镜全膀胱切除-原位回肠膀胱术(5例报告)()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2008年04期
页码:
12-14
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Laparoscopic radical cystectomy with orthotopic neobladder(report of 5 cases)
作者:
龙兆麟; 黄健; 华庆生; 李俊; 吴世皓; 黄韬; 虞湘才
广东省佛山市顺德区第一人民医院泌尿外科,528300，中山大学附属第二医院泌尿外科,广州,510120
关键词:
膀胱癌; 腹腔镜; 新膀胱
摘要:
目的 探讨腹腔镜全膀胱切除-新膀胱术的手术方法和临床效果.方法 膀胱移行细胞癌患者5例，27～64岁(平均49.8岁).均经腹腔镜下行全膀胱切除- 原位回肠膀胱术,经腹壁切口取出标本,然后将回肠牵出切口截取40 cm长回肠段,剖开建成"M"型贮尿囊,并与双侧输尿管吻合再置入腹腔与腹腔镜下行贮尿囊尿道吻合建成原位回肠膀胱.行回肠新膀胱术. 结果 5例手术均获成功,手术时间5～7 h,平均6.0 h.出血量200～510 ml,平均340 ml,无输血.术后2～3天恢复肠道功能.术后三个月随访时患者排尿良好,新膀胱无明显残余尿,容量200～350 ml.结论 腹腔镜全膀胱切除-原位回肠膀胱术创伤小、出血少、恢复快,很有前景,但还需要长时间随机对照和随访研究.

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更新日期/Last Update: 1900-01-01