摘要
目的 探讨膀胱前壁近颈部肿瘤的微创手术治疗方式。 方法 利用腹腔镜设备 ,在膀胱镜监视下 ,下腹 5～ 10mm小切口穿刺进入膀胱 ,采取经皮经尿道联合途径腔镜切除 5例膀胱前壁近颈部的肿瘤。 结果 5例患者术中膀胱各部位肿瘤显露满意 ,切除顺利 ,无明显合并症。术后所需恢复时间与常规经尿道膀胱肿瘤电切术无明显差别。随访 3～ 10个月 ,各项检查未见肿瘤复发。 结论 采用两镜结合方式切除膀胱镜盲区肿瘤 ,可减少手术创伤 ,同时有利于膀胱其他部位肿瘤的腔镜切除。
Objective To investigate a minimal invasive surgical therapy for tumors in the an terior wall close to bladder neck. Methods A 5～10 mm incision was made in abdominal wall below the umbilicus and laparoscopic devices were introduced into the bladder.Tumors were excised and coa gulated under the monitoring of cystoscopy. Results Tumors at the anterior wall of bladder were easily exposed and removed.The recovery time was nearly the same as that of TURBT.No tumor recurrence was observed in 3～10 months period. Conclusions Tumors at the anterior wall of bladder could be easily removed by the combined use of cystoscopy and laparoscopy and open surgery might be avoided.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2002年第3期162-163,共2页
Chinese Journal of Urology
关键词
膀胱肿瘤
外科手术
内窥镜
腹腔镜
治疗
Bladder neoplasms
Surgical procedures,endoscopic
Laparoscopy
