摘要
目的报道2例经膀胱单孔腹腔镜前列腺癌根治术的初步经验。方法选择2例前列腺癌(T1b,PSA<10ng/ml)病例完成经膀胱单孔腹腔镜前列腺癌根治术。自制"两环一套"单孔四通道装置经穿刺入膀胱,建立单孔操作通道。手术程序包括环形切开膀胱颈,在前列腺包膜外游离并切除精囊、输精管、前列腺侧韧带,保留神经血管束,离断前列腺尖部,切断尿道,行尿道膀胱吻合。结果 2例手术均经膀胱单孔腹腔镜下完成。前列腺体积分别为53ml,24ml,手术时间分别3h和2.5h。失血量分别为150ml和80ml,术后7d拔除膀胱造瘘管,9d拔除尿管。拔管后患者完全控尿。结论经膀胱单孔腹腔镜前列腺癌根治术在技术上是可行的,该术式更适用于早期前列腺癌病例。
Objective To report two cases of transvesical single-site laparoscopic radical prostatectomy（TVSLRP）. Methods TVSLRP was performed on two cases with T1b PCa. A self-made single-site divece was placed percutaneouly into the bladder. Pheumovasicum was established and 10mm HDTV laparoscope was used. All the operative procedure including dissection of the seminal vesicles and vas deferens, ligation of prostatic pedicles, preserving of neurovascular bundles, apical dissection, urethral transection, and urethro-vesical anastomosis, were performed transvesically and laparoscopically. Results Both procedures were technically successful transvesically with no need for additional ports or conversion to standard laparoscopy. The operative duration for the multi-port procedure was 3 h and 2.5 h respectively. Blood loss was 150 and 80 ml separately and Cathederization duration was 9 d. Both patients regained continence well after cathederization. Conclusions TVSLRP under pneumovesicum is technically feasible using a single-site approach. This noval approach is available for cases with early stage of PCa.
出处
《中华腔镜泌尿外科杂志（电子版）》
2011年第2期1-3,共3页
Chinese Journal of Endourology(Electronic Edition)
基金
中山大学临床研究5010计划(2007028)
关键词
前列腺癌根治术
腹腔镜
经膀胱
单孔
Radical prostatectomy Laparoscopic Transvesical Single-site
