[1]杨庆涛,黎明,杨镜秋,等.腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术治疗18例浸润性膀胱癌:附视频[J].中华腔镜泌尿外科杂志(电子版),2013,(03):21-24.
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腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术治疗18例浸润性膀胱癌: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:
2013年03期
页码:
21-24
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Experience of laparoscopic radical cystectomy and sigmoid colon orthotopic neobladder reconstruction for invasive bladder cancer: Report of 18 cases
作者:
杨庆涛黎明杨镜秋陈捷彭友彬周德荣郑俊鸿林炳森张淳
汕头大学医学院第二附属医院泌尿外科,广东汕头,515041
关键词:
腹腔镜膀胱肿瘤膀胱根治切除乙状结肠尿流改道
摘要:
目的 总结腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术治疗浸润性膀胱癌的治疗经验. 方法 回顾分析18例浸润性膀胱癌患者的临床资料,所有患者接受腹腔镜下盆腔淋巴结清扫、全膀胱及前列腺切除、经下腹部小切口取出切除组织并行去带乙状结肠原位新膀胱术. 结果 腹腔镜根治性膀胱切除术手术时间240~360 min,出血量300~500 ml;开放去带乙状结肠原位新膀胱术手术时间180~300 min、出血量200~400 ml.术后5~7 d恢复饮食,2周后拔除盆腔引流管,3~4周拔除膀胱造瘘管,4~6周拔除导尿管及双侧输尿管支架管. 结论 腹腔镜根治性膀胱切除及乙状结肠原位新膀胱术创伤小、出血少、恢复快、疗效确切、并发症少,是浸润性膀胱癌较好的一种治疗方法,具有较好的临床应用价值.

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更新日期/Last Update: 1900-01-01