[1]曹达龙 叶定伟 戴波 张海梁 沈益君 朱一平 施国海 马春光 肖文军 秦晓健 林国文 朱耀.腹腔镜前列腺癌根治术时对腺体突向膀胱的优化处理:附视频[J].中华腔镜泌尿外科杂志(电子版),2015,(05):317-319.[doi:10.3877/cma.j.issn.1674-3253.2015.05.002 ]
 Cao Dalong,Ye Dingwei,et al.The optimized treatment of prostate gland protruding to bladder in laparoscopic radical prostatectomy[J].,2015,(05):317-319.[doi:10.3877/cma.j.issn.1674-3253.2015.05.002 ]
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腹腔镜前列腺癌根治术时对腺体突向膀胱的优化处理: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:
2015年05期
页码:
317-319
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
The optimized treatment of prostate gland protruding to bladder in laparoscopic radical prostatectomy
作者:
曹达龙 叶定伟 戴波 张海梁 沈益君 朱一平 施国海 马春光 肖文军 秦晓健 林国文 朱耀
200032 上海,复旦大学附属肿瘤医院泌尿外科1;200433 上海,复旦大学肿瘤学系2
Author(s):
Cao Dalong1 2 Ye Dingwei1 2 Dai Bo1 2 Zhang Hailiang1 2 Shen Yijun1 2et al.
1.Department of Urology,,()Fudan University Shanghai Cancer Center, Shanghai 200032, China; 2.Department of Oncology, Fudan University, Shanghai 200433, China
关键词:
前列腺肿瘤腹腔镜优化处理
DOI:
10.3877/cma.j.issn.1674-3253.2015.05.002
摘要:
目的总结和介绍腹腔镜前列腺癌根治术时处理前列腺腺体突向膀胱(前列腺中叶突向膀胱超过 1 cm)的经验和技巧,评价其临床价值。方法 8例前列腺腺体突向膀胱的前列腺癌患者均接受前列腺癌根治术。术中先游离膀胱颈两侧分别至 3点和 9点,再剥离尿道隧道,然后将前列腺中叶从尿道开口中提起,最后从前列腺中叶表面剥离膀胱黏膜和靠近膀胱后壁分离前列腺。分析该方法的成功率、完成时间和并发症。结果 8例患者均成功实施了前列腺癌根治术,完全分离膀胱颈与前列腺所需时间 15~36 min,平均 27 min;手术总时间 90~180 min,平均 131 min。术中无输尿管口损伤,术后无尿漏、无手术切缘阳性等并发症发生。结论腹腔镜前列腺癌根治术中采用优化的手术技巧处理腺体突向膀胱,方法简单,效果确切,值得在临床推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81302213),国家自然科学基金(81272837),复旦大学附属肿瘤医院院级基金(YJ201206)
通讯作者:叶定伟,Email:dwyeli@163.com
更新日期/Last Update: 1900-01-01