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腹腔镜前列腺癌根治术治疗早期前列腺癌的临床经验(附10例报告)
引用本文:张旭,王少刚,叶章群,李宏召,郑涛,马鑫,黄本荣. 腹腔镜前列腺癌根治术治疗早期前列腺癌的临床经验(附10例报告)[J]. 临床泌尿外科杂志, 2004, 19(9): 516-518,F003
作者姓名:张旭  王少刚  叶章群  李宏召  郑涛  马鑫  黄本荣
作者单位:华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030
摘    要:目的:总结腹腔镜前列腺癌根治术治疗早期前列腺癌的手术经验。方法:采用前列腺特异抗原检测和前列腺穿刺筛选10例PT1b~PT3a前列腺癌患者,用腹腔镜行前列腺癌根治术,总结手术时间、出血量和并发症的发生情况,并进行术后随访。结果:10例腹腔镜前列腺癌根治术均获成功。手术时间210~310min,平均250min;出血量200~500ml,平均340ml。术中发生大出血2例,术后尿外渗1例,未出现尿失禁和排尿困难。结论:腹腔镜前列腺癌根治术涉及较多腹腔镜下分离、切割、止血和缝合技术,只有熟悉前列腺的局部解剖、使用良好的腹腔镜器械、熟练掌握各种腹腔镜操作技术,才能缩短手术时间,减少手术并发症的发生。

关 键 词:前列腺肿瘤    腹腔镜术
文章编号:1001-1420(2004)09-0516-03

Laparoscopic radical prostatectomy:preliminary experience with 10 cases
ZHANG Xu WANG Shaogang YE Zhangqun LI Hongzhao ZHENG Tao MA Xin HUANG Benrong. Laparoscopic radical prostatectomy:preliminary experience with 10 cases[J]. Journal of Clinical Urology, 2004, 19(9): 516-518,F003
Authors:ZHANG Xu WANG Shaogang YE Zhangqun LI Hongzhao ZHENG Tao MA Xin HUANG Benrong
Affiliation:ZHANG Xu 1 WANG Shaogang 1 YE Zhangqun 1 LI Hongzhao 1 ZHENG Tao 1 MA Xin 1 HUANG Benrong 1
Abstract:Objective:To present our preliminary surgical experience with laparoscopic radical prostatectomy for clinically localized prostate cancer.Methods:10 selective cases with prostate cancer diagnosed by serum prostate specific antigen (PSA) detection and biopsy of prostate underwent laparoscopic radical prostatectomy. The operating time, estimated blood loss and perioperative complication were recorded and evaluated. Follow-up studies were performed with an evaluation for postoperative PSA level and the status of the urinary voiding.Results:The procedure was completed laparoscopically in all 10 cases. Mean operating time was 250 minutes (ranging from 210 to 340) and mean blood loss was 340 ml (ranging from 200 to 500). No urinary incontinence and voiding dysfunction occurred.Conclusions:Laparoscopic radical prostatectomy is a technically demanding procedure including many techniques such as dissection, hemostasis and intracorporeal hand free suturing. Good knowledge of local anatomy of the prostate, effective instruments and experienced intracorporeal operation are necessary for the success of the procedure.
Keywords:Prostate tumor  Carcinoma  Laparoscopy
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