腹腔镜前列腺切除术中使用尼龙线体外牵引辅助膀胱尿道吻合的效用
Utility of extracorporeal traction with nylon thread for easier vesicourethral anastomosis in laparoscopic prostatectomy.
作者信息
Kondo Yukihiro, Matsuzawa Ichiro, Watanabe Jun, Hamasaki Tsutomu, Yoshida Kazuhiro, Nishimura Taiji
机构信息
Department of Urology, Nippon Medical School, Tokyo, Japan.
出版信息
Int J Urol. 2005 Dec;12(12):1082-4. doi: 10.1111/j.1442-2042.2005.01215.x.
PURPOSE
Vesicourethral anastomosis in laparoscopic prostatectomy is a very difficult procedure. Our purpose in this study was to evaluate a new method using extracorporeal bladder neck traction with nylon thread for vesicourethral anastomosis during laparoscopic radical prostatectomy.
MATERIALS AND METHODS
A total of 10 patients underwent laparoscopic radical prostatectomy by this technique, and we evaluated anastomosis time, operative time, and postoperative status of vesicourethral anastomosis.
RESULTS
It was possible to shorten both anastomosis time and operative time by this procedure, and to obtain a hermetic anastomosis without higher risk of incontinence, stricture, or leakage.
CONCLUSIONS
Extracorporeal bladder neck traction with nylon thread is a very useful procedure to carry out easier vesicourethral anastomosis, especially for a surgeon's initial experience in laparoscopic radical prostatectomy.
目的
腹腔镜前列腺切除术中的膀胱尿道吻合术是一项非常困难的操作。本研究的目的是评估一种在腹腔镜根治性前列腺切除术中使用尼龙线进行体外膀胱颈牵引以进行膀胱尿道吻合的新方法。
材料与方法
共有10例患者采用该技术进行了腹腔镜根治性前列腺切除术，我们评估了吻合时间、手术时间以及膀胱尿道吻合术后的状况。
结果
通过该手术可以缩短吻合时间和手术时间，并获得密闭吻合，且失禁、狭窄或渗漏的风险不会增加。
结论
用尼龙线进行体外膀胱颈牵引是一种非常有用的操作，可使膀胱尿道吻合更容易，特别是对于外科医生初次进行腹腔镜根治性前列腺切除术而言。
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