摘要
目的探讨腹腔镜全膀胱切除治疗膀胱癌对术后复发的影响。方法对2002年7月～2006年10月间13例行腹腔镜下全膀胱切除并去带乙状结肠新膀胱术膀胱癌患者随诊观察术后复发情况。结果术后最少生存时间13个月,一例术后29个月全身多处转移死亡,一例术后13个月因宫颈癌死亡。其余病例目前仍存活。结论腹腔镜下全膀胱切除去带乙状结肠新膀胱术比开放性手术对机体免疫功能影响小,淋巴结清除彻底,符合肿瘤根治原则,具有较好的应用价值。
Objective To investigate the recurrence of the bladder cancer after laparoscopic radical cystectomy. Methods From July 2002 to October 2006, we followed up the recurrence of the 13 cases that underwent laparoscopic radical cystectomy and sigmoid colon orthotopic neobladder reconstruction. Result The shortest of survival time was 13 months, one was dead of multi-diversion in 29 months after the operation, the other one was dead of uterine cervix cancer in 13 months after the operation, the rest of cases are survival. Conclusion Laparoscopie radical cystectomy and sigmoid colon orthotopic neobladder reconstruction is less influence in immune function and more elimination of lymph node than open operation, which is fit for radical principles and deserves preferable application in clinic.
出处
《临床医学工程》
2009年第7期19-20,共2页
Clinical Medicine & Engineering
基金
广州市番禺区科技局资助项目(项目编号:2004-Z-35-1)
关键词
膀胱肿瘤
腹腔镜
膀胱全切术
复发
bladder cancer
laparoscopy
bladder cystectomy
recurrence
