[1]袁道彰**,徐晓龙①,王丽艳,等.膀胱软镜联合腹腔镜膀胱部分切除术治疗肌层浸润性膀胱癌11例[J].中国微创外科杂志,2017,17(08):754-756.
　Yuan Daozhang*,Xu Xiaolong,Wang Liyan*,et al.Flexible Cystoscopy Combined with Laparoscopic Partial Cystectomy for Muscleinvasive Bladder Cancer[J].Chinese Journal of Minimally Invasive Surgery,2017,17(08):754-756.
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膀胱软镜联合腹腔镜膀胱部分切除术治疗肌层浸润性膀胱癌11例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年08期
页码:
754-756
栏目:
经验交流
出版日期:
2017-08-20

文章信息/Info

Title:
Flexible Cystoscopy Combined with Laparoscopic Partial Cystectomy for Muscleinvasive Bladder Cancer
作者:
袁道彰**; 徐晓龙①; 王丽艳; 都兴华②; 李靖; 郑舜升; 杨建安; 王斌
广州医科大学附属肿瘤医院泌尿外科，广州510095
Author(s):
Yuan Daozhang*;  Xu Xiaolong;  Wang Liyan*;  et al.
*Department of Urology, Affiliated Tumor Hospital of Guangzhou Medical University, Guangzhou 510095, China
关键词:
腹腔镜膀胱部分切除术; 膀胱软镜; 尿路上皮细胞癌
Keywords:
Laparoscopic partial cystectomy; Flexible cystoscopy; Upper ureteral neoplasms
文献标志码:
B
摘要:
目的探讨膀胱软镜联合腹膜外腹腔镜膀胱部分切除术治疗肌层浸润性膀胱癌（muscleinvasive bladder cancer，MIBC）的可行性。方法2014年10月~2015年12月采用膀胱软镜联合腹膜外腹腔镜膀胱部分切除术（laparoscopic partial cystectomy，LPC）治疗11 例MIBC，术中膀胱软镜检查，行腹膜外LPC和腹腔镜下膀胱切口缝合术。结果11例手术均成功，无中转开放手术。平均手术时间155 min（125～190 min），术中平均出血量80 ml（20～150 ml），术后平均胃肠功能恢复时间30 h（20～56 h），术后平均住院8 d（5～11 d）。无尿漏、肠粘连和肠梗阻并发症发生。术后病理：pT2N0M0 6例，pT3N0M0 5例。11例术后随访3～16 个月，平均10个月，膀胱内复发1 例，远处转移1 例。结论膀胱软镜联合LPC治疗MIBC可行、安全。
Abstract:
ObjectiveTo study the feasibility of flexible cystoscopy combined with laparoscopic partial cystectomy(LPC) for muscleinvasive bladder cancer(MIBC). MethodsWe retrospectively reviewed 11 patients with MIBC treated with flexible cystoscopy combined with LPC from October 2014 to December 2015. The treatment included intraoperative flexible cystoscopy examination, extraperitoneal LPC, and laparoscopic bladder incision suture.ResultsThe 11 patients were operated successfully, and no conversion to open surgery was required. The average intraoperative time was 155 min (range, 125-190 min), the average intraoperative blood loss was 80 ml (range, 20-150 ml), the average postoperative gastrointestinal function recovery time was 30 h (range, 20-56 h), and the average hospitalization time was 8 d (range, 5-11 d). No urinary fistula, intestinal adhesion or obstruction occurred. The postoperative pathological results showed 6 cases of pT2N0M0 and 5 cases of pT3N0M0. Postoperative followups for 3-16 months (mean, 10 months) in the 11 cases showed 1 case of bladder recurrence and 1 case of distant metastasis.ConclusionFlexible cystoscopy combined with LPC is a feasible, safe, and effective method of minimally invasive surgery for MIBC.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：广东省医学科学技术研究基金项目（项目编号：A2016611）**通讯作者，Email：daozhangyuan@163.com①（东莞市第三人民医院泌尿外科，东莞523366）②（暨南大学附属第一医院泌尿外科，广州510630）
更新日期/Last Update: 2017-11-22