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腹腔镜与开放手术行根治性膀胱切除回肠膀胱术的比较研究

金霆 汪朔 蔡松良 夏丹 沈柏华 谢立平

浙江医学2012,Vol.34Issue(11):872-874,3.
浙江医学2012,Vol.34Issue(11):872-874,3.

腹腔镜与开放手术行根治性膀胱切除回肠膀胱术的比较研究

Comparison of laparoscopic and open radical cystectomy with ileal conduit diversion in patients with urinary bladder cancer

金霆 1汪朔 2蔡松良 2夏丹 2沈柏华 2谢立平2

作者信息

  • 1. 杭州市萧山区第二人民医院
  • 2. 310003,杭州,浙江大学附属第一医院泌尿外科
  • 折叠

摘要

Abstract

Objective To compare the efficacy and safety of laparoscopic and open radical cystectomy with ileal conduit diversion. Methods The clinical data of 32 cases receiving laparoscpic radical cystectomy with ileal conduit diversion (group A) and 35 cases receiving open surgery (group B) from May 2005 to Jul 2011 were retrospectively analyzed. The perioperative parameters, postoperative complications, the function of ileal neobladder and tumor control were compared between two groups. Results The indicators of estimated blood loss, recovery of intestinal function, ambulation and the length of hospital stay and postoperative complication rate in group A were better than those in group B(P<0.05 or 0.01 ). There were no significant differences in operation time, the volume and pressure of neobladder between two groups (P >0.05). Conclusion Laparoscopic radical cystectomy with ileal conduit diversion is a safe and effective urinary diversion method for bladder neoplasms.

关键词

膀胱肿瘤/腹腔镜/根治性膀胱切除术/回肠膀胱术

Key words

Bladder neoplasms/ Laparoscopy/ Radical cystectomy/ Ileal conduit diversion

引用本文复制引用

金霆,汪朔,蔡松良,夏丹,沈柏华,谢立平..腹腔镜与开放手术行根治性膀胱切除回肠膀胱术的比较研究[J].浙江医学,2012,34(11):872-874,3.

浙江医学

OACSTPCD

1006-2785

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