摘要
目的 :探讨腹腔镜前列腺癌根治术 (LRP)治疗早期前列腺癌的疗效。方法 :对 30例TNM分期T1b～T2 期的前列腺癌患者 ,行腹腔镜下经腹途径LRP术。将 30例按时间顺序分前、后两组 ,统计两组的手术时间、出血量、围手术期并发症 ,提出预防和处理并发症的措施。结果 :30例手术均获成功。前、后两组平均手术时间分别为 390和 2 70min ;平均出血量 4 30和 16 0ml。在前组 (早期 )发生耻骨后静脉丛损伤导致大出血 3例 ,术中分离损伤膀胱 5例 ,直肠损伤 2例 ,术后出现尿外渗 7例 ,出现膀胱尿道吻合口狭窄 2例。后组 1例出现尿外渗和 1例直肠损伤。 30例术后 3周拔除尿管排尿通畅。术后复查PSA值小于 0 .3mg/L。 结论 :随着术式的改进和并发症的减少 。
Objective:To evaluate the effect of laparoscopic radical prostatectomy (LRP) in 30 cases of local prostate cancer.Method:30 cases who presented clinical stages T 1b to T 2 prostate cancer underwent LRP according to Montsouris technique. The former 15 and latter 15 cases of LRP were analysed in the items of operating time, blood loss and perioperative complication.Result:Median operation time was 390 (270 to 660 ) and 270(220~360)minute seperately; median blood loss 430 (200~1100) and 160(100~400)ml differently. Among former 15 cases of LRP, 3 cases encountered retropubic venous injury; 5 bladder rupture; 2 rectal injury and 7 extravasation of urine. However, only 1 case of rectal injury and 1 of urine leakage was seen in latter l5 cases of LRP.Conclusion:With the improvement of operative technique, LRP becomes regular and standard surgery to prostate cancer in our institution.
出处
《临床泌尿外科杂志》
2004年第3期137-138,141,T002,共4页
Journal of Clinical Urology
