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减少耻骨后前列腺癌根治术并发症的体会
引用本文:黄滔,刘定益,周文龙,张志伟,王名伟,楚晨龙,张朝晖. 减少耻骨后前列腺癌根治术并发症的体会[J]. 中国男科学杂志, 2007, 21(12): 58-60
作者姓名:黄滔  刘定益  周文龙  张志伟  王名伟  楚晨龙  张朝晖
作者单位:1. 上海交通大学医学院附属瑞金医院卢湾分院泌尿外科,上海,200020
2. 上海交通大学医学院附属瑞金医院泌尿外科
摘    要:
目的探讨耻骨后前列腺癌根治术手术技巧及改进,减少手术并发症。方法对16例前列腺癌患者进行耻骨后前列腺癌根治术。结果16例患者手术顺利,平均手术时间3.5h,术中平均出血量700ml,术中无直肠损伤者。术后尿瘘1例,尿道狭窄1例,无尿失禁。结论有效控制背深静脉丛,精细解剖前列腺尖部,保护尿控神经,以及良好的尿道膀胱吻合术能有效地减少手术并发症。

关 键 词:前列腺肿瘤/外科学  前列腺切除术  手术后并发症
收稿时间:2007-02-21
修稿时间:2007-02-21

Study on reduction of complications in radical retropubic prostatectomy
Huang Tao,Liu Dingyi,Zhou Wenlong,Zhang Zhiwei,Wang Mingwei,Chu Chenlong,Zhang Zhaohui. Study on reduction of complications in radical retropubic prostatectomy[J]. Chinese Journal of Andrology, 2007, 21(12): 58-60
Authors:Huang Tao  Liu Dingyi  Zhou Wenlong  Zhang Zhiwei  Wang Mingwei  Chu Chenlong  Zhang Zhaohui
Abstract:
Objective To reduce the complications of radical retropubic prostatectomy.Methods 16 patients with prostate cancer were performed by radical retropubic prostatectomy.Results The average operative time was 3.5 hours,the average blood loss was 700ml,non rectal injury and urinary incontinence,took place but 1 case with urinary leakage and 1 case with urethral obstucture.Conclusion During the operation,effective controlling of the santorini's veins,precise dissecting anatomic ally the retropubic prostate,protecting the urinary innervation and pefect cysto-urethral anastomosis,can reduce the complications.
Keywords:prostatic neoplasms/surgery  prostatectomy  postoperative complications
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