Yamashita T, Muraishi O, Umeda S, Matsushita T
Division of Urology, Iida Municipal Hospital, Japan.
J Urol. 1997 Jan;157(1):263-5. doi: 10.1016/s0022-5347(01)65341-2.
We introduce a new technique to decrease operative time and blood loss during radical cystectomy.
We used endoscopic stapling devices for secure hemostasis, as well as rapid division of the bladder and prostatic lateral ligaments, and the deep dorsal vein complex during radical cystectomy in 16 patients with bladder or urethral cancer compared to 11 who underwent cystectomy via a conventional method, consisting of incision and ligation with sutures.
In most cases the endoscopic staplers were useful for sufficient hemostasis and rapid division of the ligaments and/or venous plexus. Mean total operative time with the stapling technique was significantly shorter than that with the standard technique (p = 0.003), and mean total blood loss was less than with the standard technique but the difference was not statistically significant.
Although our study was not designed in a randomized manner, we believe that endoscopic stapling devices facilitate radical cystectomy.
我们介绍一种在根治性膀胱切除术中减少手术时间和失血的新技术。
我们使用内镜吻合器进行可靠止血，以及在根治性膀胱切除术中快速分离膀胱和前列腺侧韧带以及深部背静脉复合体，共16例膀胱癌或尿道癌患者接受该方法，另有11例患者通过传统方法进行膀胱切除术，即切开并缝合结扎。
在大多数情况下，内镜吻合器有助于充分止血和快速分离韧带和/或静脉丛。使用吻合技术的平均总手术时间明显短于标准技术（p = 0.003），平均总失血量也少于标准技术，但差异无统计学意义。
虽然我们的研究并非随机设计，但我们认为内镜吻合器有助于根治性膀胱切除术。
