重庆医学Issue(16)：2194-2196,2199,4.DOI:10.3969/j.issn.1671-8348.2015.16.012
腹腔镜膀胱全切回肠膀胱术与原位回肠新膀胱术近期疗效比较
Short-term efficacy after laparoscopic radical cystectomy:comparison of ileal conduit to orthotopic ileal neobladder
摘要
Abstract
Objective To summary the experience of laparoscopic cystectomy ileal conduit (Bricker) and orthotopic ileal neo‐bladder (Hautmann) and compare the short‐term efficacy of the two types of urinary diversion for invasive bladder cancer . Methods Retorspective analysis of the patients in our hospital who accepted laparoscopic radical cystectomy from 2010 to 2014 was performed ,74 of them accepted ileal conduit ,and 30 of them accepted orthotopic ileal neobladder .The general clinical data ,postop‐erative recovery ,postoperative complications and Oncology feature were analyzed and compared between the two groups .Results There was no demonstrable difference was found in operation time ,blood loss ,intraoperative blood transfusion rate ,the number of removed lymph node ,average hospital stay ,specimens positive margin rate and postoperative pathology results between the two groups (P>0 .05) .But there were significant difference in postoperative intestinal function recovery time[(4 .2 ± 1 .4)d ,(5 .3 ± 2 .2)d] ,(P=0 .002) ,and the complication rates 31 .9% (23 cases)vs .53 .3% (16 case) ,P=0 .043 .After 6 months ,the daytime and nighttime urinary control were 76 .9% ,57 .7% ,after 12 months ,the daytime and nighttime urinary control increased to 90 .9% , 81 .8% .2 cases(7 .7% ) were diagnosed with recurrence or metastasis during follow‐up in Hautmann group ,while 9 cases(14 .1% ) were diagnosed with recurrence or metastasis in Bricker group .Conclusion Two kinds of surgical procedures both have the similar therapeutic effect ,but the postoperative quality of life is better for Hautmann orthotopic neobladder patients .关键词
膀胱肿瘤/新膀胱切除术/腹腔镜检查尿流改道术/原位回肠新膀胱Key words
urinary bladder neoplasms/cystectomy/laparoscopic urinary diversion/orthotopic ileal neobladder分类
医药卫生引用本文复制引用
张鑫,王德林,吴小侯,陈在贤,蒲军,张尧,何云峰,刘文聪,何祥彪..腹腔镜膀胱全切回肠膀胱术与原位回肠新膀胱术近期疗效比较[J].重庆医学,2015,(16):2194-2196,2199,4.基金项目
重庆市科学技术委员会科技攻关项目（cstc2012gg-yyjs10043）；重庆市卫生和计划生育委员会医学科研计划项目（2013-2-082）。 （）
