滨州医学院学报2016，Vol.39Issue(3)：180-182,205,4.
腹腔镜与开放根治性膀胱全切-回肠膀胱术疗效比较
Comparison of laparoscopic and open surgery for radical cystectomy with ileal conduit surgery
摘要
Abstract
Objective To compare the clinical efficacy of laparoscopic radical cystectomy(LRC) and open radical cystectomy (ORC) for the treatment of ileal conduit surgery .Methods Sixty-two patients with LRC and ORC for the treatment of ileal conduit surgery from 2011 January to 2016 June were retrospectively reviewed .A total of 30 patients received LRC and ileal conduit surgery ,and 32 cases of ORC were enrolled for comparison .The demographic parameters of patients ,perioperative da-ta ,postoperative complication and oncology results were recorded and evaluated .Results The LRC group had less extimated blood loss(P=0.000) ,shorter hospital stay(P=0.000) compared with the ORC group .There was no difference in the mean number of dissected lymph nodes(P=0.085) ,and lymph node positive rate(P=0.922) between the two groups .There was no difference in term of tumor pathological staging classification .The median follow-up was 36 .5 months (6~56 months) .The ORC group had lower incidence of intestinal obstruction(P=0.040) .Conclusion Compared with ORC ,LRC has advantages of less blood loss ,shorter hospital stay in the treatment of ileal conduit surgery .It produces comparable tumor control as ORC .It had higher incidence of intestinal obstruction .We believed that in the process of the laparoscopic surgery the cause is that we can't keep peritoneal integrity .关键词
膀胱肿瘤/腹腔镜/回肠膀胱术/根治性膀胱切除Key words
bladder cancer/laparoscopic/ileal conduit surgery/radical cystectomy分类
医药卫生引用本文复制引用
梅延辉,燕东亮,张冰,苏庆国,曹景源,邱新凯..腹腔镜与开放根治性膀胱全切-回肠膀胱术疗效比较[J].滨州医学院学报,2016,39(3):180-182,205,4.基金项目
滨州市科技发展计划（2014ZC0157）；滨州医学院科技计划项目 （）
