摘要
目的探讨保护控尿功能的腹腔镜前列腺癌根治术(1aparoscopicradicalprostatectomy,LRP)的技术要点。方法回顾性分析2008年1月至2012年1月收治的TNM分期为T1～2N0M0,行LRP的前列腺癌患者的临床资料。前期16例按标准术式完成手术,为标准组,后期40例在常规根治术基础上,进行技术改良,为改良组。比较两组手术时间、出血量、并发症发生率、尿管留置时间、控尿率等临床指标。结果改良组手术时间、出血量、手术并发症发生率、尿管留置时间、住院时间均比标准组少(P<0.05),而30天、60天、90天控尿率均高于标准组(P<0.05)。结论改良LRP治疗局限性前列腺癌是安全、有效的,术中的精细处理可减少了手术并发症,改善术后控尿功能。
Objective To explore the surgical technique of protection of unirary continence in laparoscopic radical prostatectomy . Methods To select and analyze the data such as operative time, amount of intraoperative bleeding, incidence of eompieations, catheter indwelling time and urinary continence rate of 56 cases of organ confined prostate cancer（T1 -T2NOM0）. At the beginning, 16 patients underwent the operation by the standard operation, while the others underwent by technology improvement. Results The improved group had less operative time, amount of intraoperativc bleeding, incidence of compieations, catheter indwelling time than the standard group（ P 〈 0.05 ）. While the 30d-urinary continence rate,60d-urinary continence rate and 90d-urinary continence rate were higher in the improved group than in the standard group（P 〈0.05 ）. Conclusions Laparoseopic radical prostatectomy is efficient and safe approach for localized prostate cancer. The precise operation can reduce the complications and improve postoperative urinary continence function.
出处
《中国肿瘤外科杂志》
CAS
2012年第5期265-268,共4页
Chinese Journal of Surgical Oncology
