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中华腔镜泌尿外科杂志(电子版) ›› 2017, Vol. 11 ›› Issue (02) : 96 -100. doi: 10.3877/cma.j.issn.1674-3253.2017.02.005

所属专题: 文献

临床研究

腹腔镜下保留前列腺的膀胱全切除术
林洋1, 金刚1, 田玉新1, 杨新平1, 周昌东1, 孙凯1, 王英迪1, 刘一1, 张奇夫1,()   
  1. 1. 130012 长春,吉林省肿瘤医院泌尿外科
  • 收稿日期:2016-03-24 出版日期:2017-04-01
  • 通信作者: 张奇夫

Laparoscopic prostate-sparing cystectomy: report of 10 cases

Yang Lin1, Gang Jin1, Yuxin Tian1, Xinping Yang1, Changdong Zhou1, Kai Sun1, Yingdi Wang1, Yi Liu1, Qifu Zhang1,()   

  1. 1. Department of Urology, Jilin cancer Hospital, Changchun 130012, China
  • Received:2016-03-24 Published:2017-04-01
  • Corresponding author: Qifu Zhang
  • About author:
    Corresponding author: Zhang Qifu, Email:
引用本文:

林洋, 金刚, 田玉新, 杨新平, 周昌东, 孙凯, 王英迪, 刘一, 张奇夫. 腹腔镜下保留前列腺的膀胱全切除术[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(02): 96-100.

Yang Lin, Gang Jin, Yuxin Tian, Xinping Yang, Changdong Zhou, Kai Sun, Yingdi Wang, Yi Liu, Qifu Zhang. Laparoscopic prostate-sparing cystectomy: report of 10 cases[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2017, 11(02): 96-100.

目的

探讨保留前列腺的腹腔镜膀胱全切、回肠膀胱术的临床应用价值。

方法

回顾性分析2012年1月至2015年6月因膀胱癌在我院行保留前列腺的腹腔镜膀胱全切、回肠膀胱术的男性患者的临床资料,共10例患者,年龄37~45岁,中位年龄41岁,术前临床分期,T2N0M0。

结果

本组10例患者完成手术,手术时间220~340 min,中位时间250 min。术中出血量350~800 ml,中位出血量480 ml。术后随访6~24个月,术后6个月9例能勃起并完成射精,出现远处转移1例,行全身化疗,至今存活。

结论

保留前列腺的腹腔镜膀胱全切、回肠膀胱术术前患者要严格的选择,早期随访疗效满意,保留患者性功能明显,提高了年轻患者的生活质量。

Objective

To evaluate the clinical effectiveness of prostate sparing in laparoscopic radical cystectomy with ileal conduit.

Methods

The clinical data of 10 male patients who underwent prostate sparing laparoscopic radical cystectomy with ileal conduit from January 2012 to June 2015 were retrospectively analyzed. The age of the patients ranged from 37 to 45 years, and the median age was 41 years old. The clinical stage were all T2N0M0.

Results

Ten patients were all operated successfully. The mean operative time was 250 minutes (range 220-340 min). The blood loss was ranged from 350 ml to 800 ml, the median blood loss was 480 ml. They were followed for 6 to 24 months, 9 patients can have erection and ejaculation after 6 months. One patient had distant metastasis and was given chemotherapy, and still alive now.

Conclusion

Based on our early follow-up, the procedure of laparoscopic prostate sparing radical cystectomy with ileal conduit obtain good functional results, but the patients must be strictly screened, sparing the function of erection and ejaculatory can greatly improve the patient's quality of life.

图1~4 示患者术后3个月复查CT,可见膀胱缺如,前列腺保留完好
表1 患者术前及术后IIEF-5评分对照
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