Laparoscopic radical prostatectomy: A report of 21 cases

HE Wei-yang; et al

doi:10.13406/j.cnki.cyxb.2011.02.022

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Laparoscopic radical prostatectomy: A report of 21 cases

更新时间：2024-01-17

- Laparoscopic radical prostatectomy: A report of 21 cases
- Journal of Chongqing Medical University Vol. 36, Issue 2, Pages: 232-234(2011)
- 作者机构：
  
  重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.02.022
  CLC： R737.25
- Published：2011，
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[1]何卫阳,苟欣,王明,肖明朝,邓远忠.腹腔镜前列腺癌根治术初步体会(附21例报告)[J].重庆医科大学学报,2011,36(02):232-234.

HE Wei-yang, et al. Laparoscopic radical prostatectomy: A report of 21 cases. [J]. Journal of Chongqing Medical University 36(2):232-234(2011)
[1]何卫阳,苟欣,王明,肖明朝,邓远忠.腹腔镜前列腺癌根治术初步体会(附21例报告)[J].重庆医科大学学报,2011,36(02):232-234. DOI： 10.13406/j.cnki.cyxb.2011.02.022.

HE Wei-yang, et al. Laparoscopic radical prostatectomy: A report of 21 cases. [J]. Journal of Chongqing Medical University 36(2):232-234(2011) DOI： 10.13406/j.cnki.cyxb.2011.02.022.

摘要

目的:探讨腹腔镜前列腺癌根治术的初步体会及其临床价值。方法:回顾性总结2006年5月至2010年6月

采用腹腔镜前列腺癌根治术21例。患者年龄60～78岁

中位年龄66.7岁。术前均病理证实为前列腺癌。7例采用经腹腔途经

14例采用经腹膜外途经。结果:20例手术获得成功

手术时间130

60 min

平均270 min。术中出血量150

00 ml

平均390 ml

5例患者术中输血。1例改开放手术。术后留置尿管时间14

2 d

平均18.6 d。无直肠损伤病例;4例发生漏尿

均经保守治疗后痊愈;1例真性尿失禁;1例切缘阳性（5.2%）。术后随访2

9个月

平均15.6个月

未发现肿瘤局部复发和远处转移

血清前列腺特异抗原0

.12μg/L。结论:腹腔镜前列腺癌根治术视野清楚、创伤小、恢复快

是一种安全、有效的治疗方法。

Abstract

Objective:To report the experience of laparoscopic radical prostatectomy(LRP) in the treatment of prostate cancer and evaluate its clinical efficacy.Methods:From May 2006 to July 2010

LRP was done on 21 patients(with an average age of 66.7).All of the patients were diagnosed by pathology.Among the cases

transperitoneal approach was used in 7 patients

and extraperitoneal approach was employed in 14.Results:The operation was successfully performed in 20 cases.The mean time period of operation was 270 minutes.The mean blood loss was 390 ml.5 cases received transfusion intraoperatively.1 case received open surgery.The postoperative catheterization time was 14~22 d(mean

18.6 d).There was no injury to the rectum in all cases.Urine leak occurred in 4 cases

but recovered with conservative therapy;true incontinence occurred in 1 case.1 case(5.2%) had positive surgical margins.The patients were followed up for 2~39 months(mean 15.6 months) and no local recurrence or distant metastasis was found.Serum PSA was 0~0.12 μg/ml.No death occurred.Conclusion:With the advantages of good operating field

minimal invasion

less complications and rapid recovery

LRP is safe and effective for the treatment of prostate cancer.

关键词

前列腺癌腹腔镜前列腺癌根治术

Keywords

prostate cancerlaparoscopyradical prostatectomy

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