| 腹腔镜前列腺癌根治术初步体会(附21例报告) |
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| 引用本文： | 何卫阳,苟欣,王明,肖明朝,邓远忠. 腹腔镜前列腺癌根治术初步体会(附21例报告)[J]. 重庆医科大学学报, 2011, 36(2) |
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| 作者姓名： | 何卫阳 苟欣 王明 肖明朝 邓远忠 |
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| 作者单位： | 重庆医科大学附属第一医院泌尿外科,重庆,400016 |
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| 摘 要： | 目的:探讨腹腔镜前列腺癌根治术的初步体会及其临床价值.方法:回顾性总结2006年5月至2010年6月,采用腹腔镜前列腺癌根治术21例.患者年龄60～78岁,中位年龄66.7岁.术前均病理证实为前列腺癌.7例采用经腹腔途经,14例采用经腹膜外途经.结果:20例手术获得成功,手术时间130～360min,平均270min.术中出血量150～900ml,平均390ml,5例患者术中输血.1例改开放手术.术后留置尿管时间14～22 d,平均18.6 d.无直肠损伤病例;4例发生漏尿,均经保守治疗后痊愈;1例真性尿失禁;1例切缘阳性(5.2%).术后随访2～39个月,平均15.6个月,未发现肿瘤局部复发和远处转移,血清前列腺特异抗原0～0.12μg/L.结论:腹腔镜前列腺癌根治术视野清楚、创伤小、恢复快,是一种安全、有效的治疗方法.
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| 关 键 词： | 前列腺癌 腹腔镜 前列腺癌根治术 |
Laparoscopic radical prostatectomy: A report of 21 cases |
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| HE Wei-yang,et al. Laparoscopic radical prostatectomy: A report of 21 cases[J]. Journal of Chongqing Medical University, 2011, 36(2) |
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| Authors: | HE Wei-yang et al |
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| Affiliation: | HE Wei-yang,et al(Department of Urology,the First Affiliated Hospital,Chongqing Medical University) |
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| Abstract: | Objective:To report the experience of laparoscopic radical prostatectomy(LRP) in the treatment of prostate cancer and evaluate its clinical efficacy.Methods:From May 2006 to July 2010,LRP was done on 21 patients(with an average age of 66.7).All of the patients were diagnosed by pathology.Among the cases,transperitoneal approach was used in 7 patients,and extraperitoneal approach was employed in 14.Results:The operation was successfully performed in 20 cases.The mean time period of operation was 270 minutes.... |
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| Keywords: | prostate cancer laparoscopy radical prostatectomy |
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