| 腹腔镜下膀胱全切术治疗膀胱癌4例报告 |
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| 引用本文： | 孙星慧,张旭,林文洪,吴卫真,谭建明.腹腔镜下膀胱全切术治疗膀胱癌4例报告[J].临床泌尿外科杂志,2008,23(7):494-495. |
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| 作者姓名： | 孙星慧 张旭 林文洪 吴卫真 谭建明 |
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| 作者单位： | 南京军区福州总医院泌尿外科,福州,350025;华中科技大学同济医学院附属同济医院泌尿外科 |
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| 摘 要： | 目的:探讨腹腔镜下膀胱全切术治疗膀胱癌的可行性.方法:应用腹腔镜技术对4例膀胱癌患者进行膀胱全切术及原位回肠新膀胱手术.结果:4例患者膀胱根治均切除成功,手术时间220～270 min.腹腔镜下失血量400～500 ml.原位新膀胱手术时间200～270 min,输浓缩红细胞2个单位.术后3天恢复肠蠕动并拔除耻骨后引流管,4天开始进食.2周后拔除输尿管支架管.随访4～16个月,1例有排尿困难,1例轻微尿失禁,另2例排尿正常.4例均无复发.结论:腹腔镜膀胱全切术及原位回肠新膀胱手术创伤小,并发症少,出血少,有一定的优点,值得推广.
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| 关 键 词： | 膀胱肿瘤 腹腔镜术 |
Laparoscopic radical cystectomy for carcinoma of bladder (Report of 4 cases) |
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| SUN Xinghui,ZHANG Xu,LIN Wenhong,WU Weizhen,TAN Jianming.Laparoscopic radical cystectomy for carcinoma of bladder (Report of 4 cases)[J].Journal of Clinical Urology,2008,23(7):494-495. |
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| Authors: | SUN Xinghui ZHANG Xu LIN Wenhong WU Weizhen TAN Jianming |
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| Institution: | 1Department of Urology;Fuzhou General Hospital of PLA;Fuzhou;350025;China;2Department of Urology;Tongji Hospital;Tongji Medical College;Huazhong University of Science and Technology |
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| Abstract: | Objective:Try to intracorpereal radical cystectomy with laparoscopy.Methods:The bladders with carcinoma were removed radically with laparoscopy in four patients.Results:Operations were performed successfully.Operative time was 220-270 minutes,and 400-500 ml blood was lost.Intestinal peristalsis was regained 3 days after and oral food intake was allowed 4 days after,respectively.Ureteral stents were removed two weeks postoperatively.Conclusions:We believe that laparoscopic radical cystectomy represents a pla... |
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| Keywords: | Bladder neoplasm Laparoscopy |
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