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| 腹腔镜根治性全膀胱切除术后近期非计划二次手术探讨 | |
| 引用本文： | 刘坤,孟峻嵩,徐宗源,傅广波,顾硕,顾民. 腹腔镜根治性全膀胱切除术后近期非计划二次手术探讨[J]. 中华全科医师杂志, 2014, 0(7): 575-576 |
| 作者姓名： | 刘坤 孟峻嵩 徐宗源 傅广波 顾硕 顾民 |
| 作者单位： | [1]南京医科大学附属淮安第一医院泌尿外科,223300 [2]南京医科大学第一附属医院泌尿外科,223300 |
| 摘 要： | 回顾性分析2003年8月至2013年6月24例腹腔镜根治性全膀胱切除术后近期非计划二次手术患者的临床资料。二次手术的原因有：肠损伤、创面出血、肠吻合口瘘、深静脉血栓、肠梗阻、单J管滑脱等。二次手术后均获痊愈，术后发生并发症4例，分别为切口感染2例、尿漏1例、肺部感染1例，行对症处理治愈。严格选择手术适应证、规范手术操作以及针对膀胱癌患者的一些特殊措施，是减少腹腔镜根治性全膀胱切除术后近期非计划二次手术的关键。 |
| 关 键 词： | 膀胱切除术 腹腔镜检查 再手术 |
Reasons and preventive measures for reoperations after laparoscopic radical cystectomy |
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| Liu Kun,Meng Junsong,Xu Zongyuan,Fu Guangbo,Gu Suo,Gu Min. Reasons and preventive measures for reoperations after laparoscopic radical cystectomy[J]. Chinese JOurnal of General Practitioners, 2014, 0(7): 575-576 | |
| Authors: | Liu Kun Meng Junsong Xu Zongyuan Fu Guangbo Gu Suo Gu Min |
| Affiliation: | . ( Department of Urology, Huai＇an First People＇s Hospital, Nanjing Medical University, Huaian 223300,Jiangsu, China) |
| Abstract: | The clinical data of 24 bladder cancer patients reoperated shortly after laparoscopic radical eystectomy were retrospectively analyzed. The reoperative reasons included intestinal injury, wound bleeding, intestinal anastomosis fistula, deep vein thrombosis, ileus and single-J tube slipping. All of them were cured after reoperation. The postoperative complications were infected incisional wound （ n = 2 ） , urinary leakage （ n = 1 ） and pulmonary infection （ n = 1 ）. All were cured by symptomatic treatments. The keys of reducing the rate of reoperation shortly after laparoseopic radical cystectomy included selecting indications strictly, standardizing operative procedures and adopting special measures. |
| Keywords: | Cystectomy,laparoscopy Reoperation |
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