中国医科大学学报2017，Vol.46Issue(1)：28-32,5.DOI:10.12007/j.issn.0258⁃4646.2017.01.006
腹腔镜腹膜外前列腺癌根治术临床疗效分析
Clinical Outcome of Extraperitoneal Laparoscopic Radical Prostatectomy for Prostate Cancer
摘要
Abstract
Objective To evaluate the clinical efficacy of extraperitoneal laparoscopic radical prostatectomy(ELRP)for prostate cancer patients, and to summarize the experience of surgical treatment. Methods The clinical data of 50 prostate cancer patients who underwent ELRP by the same performer from January 2010 to June 2015 were retrospectively reviewed. Results All cases were all successfully completed ,no case was converted to open surgery. The average operation time was 238.8 min,average operative blood loss was 409.1 mL,and intraoperative or postopera?tive blood transfusion was 6(12%). The mean postoperative catheterization time was 23.7(17?38)d. The mean postoperative hospital stay was 15 (10?34)d. The postoperative recovery time of eating was 2?4 d,and the ambulation time was 1?3 d. Totally 3 cases(6%)had lymph node metasta?sis,and 7 cases(14%)had positive surgical margin. Totally 9 cases(18%)had surgery?related complication. Patients were followed up for 6 to 58 months,with an average of 12.5 months. One case(2%)had biochemical recurrence,and the tumor?free survival rate was 84%. At the end of fol?low?up,all of the patients were continent. Conclusion ELRP is safe and effective for the treatment of prostate cancer. With the development of minimally invasive techniques,the applications of RP are increasingly widespread. However,large?scale and long?term follow?up studies are still needed for high?risk prostate cancer patients.关键词
前列腺癌/前列腺癌根治术/腹膜外途径/并发症Key words
prostate cancer/radical prostatectomy/extraperitoneal approach/complication分类
医药卫生引用本文复制引用
崔昊昱,董相权,刘志宇,王梁,戴志红,于洋,高玉仁,王睿骁,王镇伟,孙香友..腹腔镜腹膜外前列腺癌根治术临床疗效分析[J].中国医科大学学报,2017,46(1):28-32,5.基金项目
辽宁省科学技术计划( 2015020289) （ 2015020289）
