[1]王德娟 邱剑光 黄文涛 胡成.腹腔镜无管化兔头回肠原位新膀胱治疗浸润性膀胱癌:附视频[J].中华腔镜泌尿外科杂志(电子版),2014,(01):7-11.
 Wang Dejuan,Qiu Jianguang,Huang Wentao,et al.Laparoscopic radical cystectomy with tubeless orthotopic ileal neobladder in the treatment of muscle-invasive bladder cancer[J].,2014,(01):7-11.
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腹腔镜无管化兔头回肠原位新膀胱治疗浸润性膀胱癌:附视频()
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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:
2014年01期
页码:
7-11
栏目:
临床研究
出版日期:
2014-02-25

文章信息/Info

Title:
Laparoscopic radical cystectomy with tubeless orthotopic ileal neobladder in the treatment of muscle-invasive bladder cancer
作者:
王德娟 邱剑光 黄文涛 胡成
510630 广州,中山大学附属第三医院泌尿外科
Author(s):
Wang Dejuan Qiu Jianguang Huang Wentao Hu Cheng.
Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
膀胱肿瘤腹腔镜手术
摘要:
目的 探索腹腔镜膀胱根治性切除及无管化兔头回肠原位新膀胱术治疗浸润性膀胱癌的初步经验。方法 回顾分析 2012年 3月至 2012年 12月采用腹腔镜治疗浸润性膀胱癌 3例,3例患者年龄分别为 57、65及 76岁。取回肠 50 cm,中部 40 cm剖开缝成 “W形”新膀胱,两端各保留 5 cm肠管形似兔耳与新膀胱体呈兔头形状,两侧兔耳部分别植入两侧输尿管,术中双侧输尿管内未留置双 J管或外支架管,回肠新膀胱无留置造瘘管,新膀胱底部与后尿道断端吻合,仅在新膀胱内留置双腔尿管。初步观察手术时间、并发症、住院日数等。结果 手术时间为分别为 380、402及 430 min,1例术后肠粘连,对症治疗后好转。无伤口感染、尿漏及其他并发症。结论 腹腔镜无管化兔头回肠原位新膀胱术治疗经选择的浸润性膀胱癌是可行的。

参考文献/References:

[1] Huang J, Lin T, Liu H, et al. Laparoscopic radical cystectomy with orthotopic ileal neobladder for bladder cancer: oncologic results of 171 cases with a median 3-year follow-up[J]. Eur Urol, 2010, 58(3): 442-449.
[2] Wang SZ , Chen LW , Zhang YH , et al . Comparison of hand-assisted laparoscopic and open radical cystectomy for bladder cancer[J]. Urol Int, 2010, 84(1): 28-33.
[3] Irwin BH, Gill IS, Haber GP, et al. Laparoscopic radical cystectomy: current status, outcomes, and patient selection [J]. Curr Treat Options Oncol, 2009, 10(3-4): 243-255.
[4] 蔡松良 ,陈戈明 ,金晓东 ,等.膀胱全切原位 W形回肠代膀胱术 120例临床分析[J]. 2006, 44(2): 104-107.
[5] Hou GL, Li YH, Zhang ZL, et al. A modified technique for neourethral anastomosis in orthotopic neobladder reconstruction [J]. Urology, 2009, 74(5): 1145-1149.
[6] Gou X, Wang M, He WY, et al. Laparoscopic radical cystectomy for bladder cancer with prostatic and neurovascular sparing-initial experience[J]. Int Urol Nephrol, 2012, 44(3): 787-792.
[7] Parra RO, Andrus CH, Jones JP, et al. Laparoscopic cystectomy: initial report on a new treatment for the retained bladder[J]. J Urol, 1992, 148(4): 1140-1144.
[8] Richards KA, Hemal AK. Current status and outcomes of robot-assisted laparoscopic radical cystectomy and urinary diversion[J]. Curr Urol Rep, 2011, 12(2): 107-114.
[9] Ha US, Kim SI, Kim SJ, et al. Laparoscopic versus open radical cystectomy for the management of bladder cancer_mid-term oncological outcome[J]. Int J Urol, 2010, 17(1): 55-61.
[10] Coward RM, Smith A, Raynor M, et al. Feasibility and outcomes of robotic-assisted laparoscopic radical cystectomy for bladder cancer in older patients[J]. Urology, 2011, 77(5): 1111-1114.
[11] Goh AC, Gill IS, Lee DJ, et al. Robotic Intracorporeal Orthotopic Ileal Neobladder: Replicating Open Surgical Principles[J]. Eur Urol, 2012, 62(5): 891-901.
[12] Chlosta P, Drewa T, Dobruch J, et al. Is pure laparoscopic radical cystectomy still an attractive solution for the treatment of muscle-invasive bladder cancer[J]? Urol Int, 2010, 85(3): 291-295.
[13] Challacombe BJ, Bochner BH, Dasgupta P, et al. The role of laparoscopic and robotic cystectomy in the management of muscle-invasive bladder cancer with special emphasis on cancer control and complications[J]. Eur Urol, 2011, 60(4): 767-775.

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备注/Memo

备注/Memo:
基金项目:国家临床重点专科建设项目
通讯作者:邱剑光,Email:qjg702@gmail.com
更新日期/Last Update: 2014-02-25