| 经尿道前列腺电切术后的腹腔镜下前列腺癌根治术 |
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| 引用本文： | 马潞林,邱敏,黄毅,肖春雷,侯小飞,王国良. 经尿道前列腺电切术后的腹腔镜下前列腺癌根治术[J]. 中华泌尿外科杂志, 2011, 32(2). DOI: 10.3760/cma.j.issn.1000-6702.2011.02.013 |
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| 作者姓名： | 马潞林 邱敏 黄毅 肖春雷 侯小飞 王国良 |
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| 作者单位： | 北京大学第三医院泌尿外科,100191 |
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| 摘 要： | 目的 探讨TURP术后发现前列腺癌行腹腔镜下前列腺癌根治术的手术技巧及经验.方法 2007年4月至2010年7月收治既往行TURP术后发现前列腺癌的患者5例,平均年龄73岁,TURP术后平均(2.8±1.1)个月行腹腔镜下前列腺癌根治术.结果 5例手术顺利完成,其中经腹腔途径1例,经腹膜外途径4例.平均手术时间(227.6±38.4)min,术中平均出血(130.0±152.5)ml,术后平均随访(16.1±15.9)个月,最长40个月,5例均存活,控尿功能好,无明显尿失禁.结论 TURP术后行腹腔镜下前列腺癌根治术疗效满意,先前的TURP术增加了腹腔镜操作难度,但在腹腔镜技术熟练的条件下是可行的.Abstract：Objective To describe our experience in laparoscopic radical prostatectomy (LRP)for incidental prostate cancer after TURP. Methods From April 2007 to July 2010, 5 patients with incidental prostate cancer after TURP were treated with a mean age of 73 years. The patients underwent LRP (2.8± 1.1) months after TURP. Results The five cases of LRP were performed successfully, with 1 case of transperitoneal approach and 4 cases of extraperitoneal approach. Mean operation time was (227.6±38.4) min, mean blood loss was (130±152.5) ml, and the mean follow-up was (16.1 ± 15.9) months. All five patients survived, and their urinary function was good without any incontinence. Conclusions Previous TURP represents a technical challenge when performing LRP, but highly skilled surgeons trained to perform LRPs can handle it.
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| 关 键 词： | 良性前列腺增生 经尿道前列腺电切术 前列腺癌 腹腔镜前列腺癌根治术 |
Laparoscopic radical prostatectomy for incidental prostate cancer after TURP |
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| MA Lu-lin,QIU Min,HUANG Yi,XIAO Chun-lei,HOU Xiao-fei,Wang Guo-liang. Laparoscopic radical prostatectomy for incidental prostate cancer after TURP[J]. Chinese Journal of Urology, 2011, 32(2). DOI: 10.3760/cma.j.issn.1000-6702.2011.02.013 |
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| Authors: | MA Lu-lin QIU Min HUANG Yi XIAO Chun-lei HOU Xiao-fei Wang Guo-liang |
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| Abstract: | Objective To describe our experience in laparoscopic radical prostatectomy (LRP)for incidental prostate cancer after TURP. Methods From April 2007 to July 2010, 5 patients with incidental prostate cancer after TURP were treated with a mean age of 73 years. The patients underwent LRP (2.8± 1.1) months after TURP. Results The five cases of LRP were performed successfully, with 1 case of transperitoneal approach and 4 cases of extraperitoneal approach. Mean operation time was (227.6±38.4) min, mean blood loss was (130±152.5) ml, and the mean follow-up was (16.1 ± 15.9) months. All five patients survived, and their urinary function was good without any incontinence. Conclusions Previous TURP represents a technical challenge when performing LRP, but highly skilled surgeons trained to perform LRPs can handle it. |
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| Keywords: | Benign prostate hyperplasia Transurethral resection of prostate Prostate cancer Laparoscopic radical prostatectomy |
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