摘要
目的探讨经腹膜外途径腹腔镜下前列腺癌根治术在治疗前列腺癌中的价值。方法2003年6月至2006年1月我院共收治前列腺癌患者25例,年龄62-78岁(平均68.5岁),病史2周-6年,所有患者均接受腹腔镜下前列腺癌根治术。结果所有手术均顺利完成,手术时间210-380min,平均245min,术中出血量500-1200mL(平均850mL),所有患者均于术后2周拔除导尿管。3例出现尿漏,于拔管前消失;3例术后出现轻度尿失禁,经辅助治疗后好转,术后PSA0-0.08μg/L,随访1-10月,未见肿瘤复发。结论腹腔镜下经腹膜外前列腺癌根治术是一种安全有效的治疗方法,术中视野清晰、止血可靠、创伤小、腹腔并发症少、患者住院时间短、恢复快,值得临床推广。
Objective To evaluate the surgical technique and clinical efficacy of extraperitoneal laparoscopic radical prostatectomy for prostate cancer. Methods We analyzed 25 cases of prostate cancer, with age from 62 to 78 years （mean 68.5 years）, case history from 2 weeks to 6 years, since June 2003 to Janurary 2006. All cases had been treated with extraperitoneal laparoscopic radical prostatectomy. Results All operation were successful, the operation time was 210- 380min, mean 245 min, the blood loss was 500-1 200 mL, mcan 850 mL, all catheter were removed at 2 weeks after surgery, 3 cases presented with urinary leakage, which disapeared before the catheter was removers, mild urinary incontinence occurred in 3 cases and improved after supportive treatment, the postoperative prostate specific antigen level was 0-0. 08μg/L , no recurrence of prostate cancer was found during the follow-up of 1 - 10 months. Conclusion Extraperitoneal laparoscopic radical prostatectomy for the treatment of prostate cancer is a safe, efficient method, with advantages of good operating field, reliable hemostasis, mini-invasion, less celiac complications, hospital stay and rapid recovery, worth to be extended.
出处
《现代泌尿外科杂志》
CAS
2006年第3期144-146,共3页
Journal of Modern Urology
关键词
前列腺癌
腹腔镜
前列腺癌根治术
prostate cancer
laparoscope
radical prostatectomy
