[全腹腔镜前列腺切除术中的膀胱尿道吻合术]
[Vesico-urethral anastomosis during total laparoscopic prostatectomy].
作者信息
Rozet F, Fournier G, Cathelineau X, Barret E, Vallancien G
机构信息
Département d'urologie, Institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
出版信息
Ann Urol (Paris). 2006 Feb;40(1):50-6. doi: 10.1016/j.anuro.2005.12.002.
Vesico-urethral anastomosis is the last step of radical prostatectomy. Whatever the approach, radical prostatectomy remains a difficult surgical intervention. The dissection steps are similar whatever the selected access, open or laparostopic. Laparoscopic anastomosis requires specific skills that must be adequately mastered by the surgeon before starting any laparoscopic radical prostatectomy program. Pelvi-trainers allow training on the anastomosis technique, with reproducible results. This chapter presents the key points for laparoscopic vesico-urethral anastomosis.
膀胱尿道吻合术是根治性前列腺切除术的最后一步。无论采用何种入路，根治性前列腺切除术仍然是一项难度较大的外科手术。无论选择开放还是腹腔镜入路，手术的解剖步骤都是相似的。腹腔镜吻合术需要特定的技巧，外科医生在开展任何腹腔镜根治性前列腺切除术之前都必须熟练掌握这些技巧。盆腔训练器可用于训练吻合技术，能产生可重复的效果。本章介绍腹腔镜膀胱尿道吻合术的要点。
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