腹腔镜和内镜下根治性前列腺切除术围手术期并发症的预防与管理
Prevention and management of perioperative complications in laparoscopic and endoscopic radical prostatectomy.
作者信息
Liatsikos Evangelos, Rabenalt Robert, Burchardt Martin, Backhaus Miguel-Ramirez, Do Minh, Dietel Anja, Wasserscheid Johanna, Constantinides Costantinos, Kallidonis Panagiotis, Truss Michael C, Herrmann Thomas R, Ganzer Roman, Stolzenburg Jens-Uwe
机构信息
Department of Urology, University of Patras, Patras, Greece.
出版信息
World J Urol. 2008 Dec;26(6):571-80. doi: 10.1007/s00345-008-0328-2. Epub 2008 Sep 10.
INTRODUCTION
Laparoscopic transperitoneal radical prostatectomy (LRP) and endoscopic extraperitoneal radical prostatectomy (EERPE) are established techniques for the management of localized prostate cancer in numerous specialized urologic centers worldwide.
RESULTS
The complication rates of LRP and EERPE are ranging between 2 and 17%. Rare but possible complications are vascular injuries, bowel injury, lymphocele formation, port-site hernia, anastomotic leakage, gas embolism and catheter obstruction and other rare events.
CONCLUSION
Prevention and management of complications requires high surgical expertise and adequate standardization of the technique.
MATERIALS AND METHODS
We herein review our experience with the endoscopic extraperitoneal radical prostatectomy in a series of 1,800 consecutive patients regarding the appearance of complications and their management.
引言
腹腔镜经腹膜根治性前列腺切除术（LRP）和内镜下腹膜外根治性前列腺切除术（EERPE）是全球众多专业泌尿外科中心用于治疗局限性前列腺癌的成熟技术。
结果
LRP和EERPE的并发症发生率在2%至17%之间。罕见但可能发生的并发症包括血管损伤、肠道损伤、淋巴囊肿形成、穿刺孔疝、吻合口漏、气体栓塞和导管阻塞以及其他罕见事件。
结论
并发症的预防和处理需要高超的手术技巧和技术的充分标准化。
材料与方法
我们在此回顾了我们对1800例连续接受内镜下腹膜外根治性前列腺切除术患者的并发症出现情况及其处理的经验。
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