Department of Urology, Second Affiliated Hospital, Army Medical University, Chongqing, 400037, China.
Department of General Surgery, Second Affiliated Hospital, Army Medical University, Chongqing, 400037, China.
Lasers Med Sci. 2023 Aug 3;38(1):174. doi: 10.1007/s10103-023-03843-w.
The aim of this study was to introduce a new surgical procedure for the resection of sigmoid colon tumours invading the bladder by combining laparoscopy and cystoscopy, and the feasibility and safety of the method were verified. The data of 6 patients with sigmoid colon cancer invading the bladder in a tertiary hospital in Chongqing from January 2020 to October 2022 were collected, sigmoid colon tumour resection was performed by this procedure, and the data related to the surgery were recorded. All six patients successfully underwent sigmoid colon tumour resection, and all sigmoid colon and bladder resections had negative margins. The mean total operative time was 211.66 ± 27.33 min, and the mean resection time of the bladder tumour was 22.16 ± 4.63 min. The median blood loss was 100 ml, and the mean number of retrieved lymph nodes was nineteen. There were no serious intraoperative complications in any of the cases. After operation, the first flatus and defecation were 4 and 4.5 days, respectively. The mean time of drainage tube retention and the time of bladder flushing were 3 and 1.5 days, respectively. The mean time of urinary tube retention was 7.5 days. There were no intestinal obstructions, dysuria, or other complications. For patients with sigmoid colon tumours invading the bladder, this method can effectively resect sigmoid colon tumours and minimize the loss of bladder tissue at the same time, which helps to prolong the survival of these patients. The surgical method is safe, reliable, and feasible.
本研究旨在介绍一种通过腹腔镜和膀胱镜联合治疗乙状结肠肿瘤侵犯膀胱的新手术方法，并验证其可行性和安全性。收集了 2020 年 1 月至 2022 年 10 月期间重庆市某三级医院 6 例乙状结肠癌侵犯膀胱患者的资料，采用该方法行乙状结肠肿瘤切除术，并记录与手术相关的数据。6 例患者均成功完成乙状结肠肿瘤切除术，所有乙状结肠和膀胱切除均为阴性边缘。总手术时间平均为 211.66±27.33 分钟，膀胱肿瘤切除时间平均为 22.16±4.63 分钟。中位出血量为 100ml，平均淋巴结检出数为 19 枚。术中无严重并发症。术后首次排气和排便时间分别为 4 天和 4.5 天。引流管留置时间和膀胱冲洗时间平均分别为 3 天和 1.5 天。导尿管留置时间平均为 7.5 天。无肠梗阻、排尿困难等并发症。对于乙状结肠肿瘤侵犯膀胱的患者，该方法能有效切除乙状结肠肿瘤，同时最大限度地减少膀胱组织的损失，有助于延长这些患者的生存时间。手术方法安全、可靠、可行。
