[腹膜外腹腔镜前列腺癌根治术：2例报告]
[Extraperitoneal laparoscopic radical prostatectomy: a report of 2 cases].
作者信息
Song Ning-Hong, Wu Hong-Fei, Sun Yue-Ming, Hua Li-Xin, Su Jian-Tang
机构信息
Department of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
出版信息
Zhonghua Nan Ke Xue. 2005 Feb;11(2):130-1, 135.
OBJECTIVE
To probe into the operation method and clinical result of extraperitoneal laparoscopic radical prostatectomy.
METHODS
Two male patients of prostate cancer underwent extraperitoneal laparoscopic radical prostatectomy. The main operation procedures proceeded under the extraperitoneal laparoscope, consisting of dissecting the prostate gland, cutting the bladder shank and the apix of the prostate gland, and then freeing the seminal vesicles followed by removing the prostate anteriorly. The final step was to connect the urethra and bladder neck.
RESULTS
The operation time was 10 and 7 hours and blood loss was 1 000 and 500 ml respectively. The intestinal function resumed 24 hours after the operation. The catheter was removed 3 weeks after surgery and no complication was seen.
CONCLUSION
Extraperitoneal laparoscopic radical prostatectomy is a good and least invasive method for local prostate cancer.
目的
探讨腹膜外腹腔镜前列腺癌根治术的手术方法及临床效果。
方法
2例男性前列腺癌患者接受腹膜外腹腔镜前列腺癌根治术。主要手术步骤在腹膜外腹腔镜下进行，包括解剖前列腺、切断膀胱颈和前列腺尖部，然后游离精囊，随后向前切除前列腺。最后一步是连接尿道和膀胱颈。
结果
手术时间分别为10小时和7小时，失血量分别为1000毫升和500毫升。术后24小时肠道功能恢复。术后3周拔除导尿管，未见并发症。
结论
腹膜外腹腔镜前列腺癌根治术是治疗局限性前列腺癌的一种良好且微创的方法。
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