[1]夏典 杨超 刘昆 彭龙飞 汪鑫 卢友路 庹舟廷 于德新 毕良宽**.盆腔侧腹膜重建在腹腔镜膀胱根治性切除尿流改道术中的应用[J].中国微创外科杂志,2021,01(11):992-996.
　Xia Dian,Yang Chao,Liu Kun,et al.Application of Pelvic Peritoneum Reconstruction in Laparoscopic Radical Cystectomy and Urinary Diversion[J].Chinese Journal of Minimally Invasive Surgery,2021,01(11):992-996.
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盆腔侧腹膜重建在腹腔镜膀胱根治性切除尿流改道术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年11期
页码:
992-996
栏目:
临床研究
出版日期:
2021-11-25

文章信息/Info

Title:
Application of Pelvic Peritoneum Reconstruction in Laparoscopic Radical Cystectomy and Urinary Diversion
作者:
夏典 杨超 刘昆 彭龙飞 汪鑫 卢友路 庹舟廷 于德新 毕良宽**
(安徽医科大学第二附属医院泌尿外科，合肥230601)
Author(s):
Xia Dian;  Yang Chao;  Liu Kun;  et al.
Department of Urology, Second Hospital of Anhui Medical University, Hefei 230601, China
关键词:
膀胱癌; 腹腔镜膀胱根治性切除术; 腹膜重建; 胃肠道并发症
Keywords:
Bladder cancer; Laparoscopic radical cystectomy; Peritoneum reconstruction; Gastrointestinal complication
文献标志码:
A
摘要:
目的探讨盆腔侧腹膜重建在腹腔镜膀胱根治性切除尿流改道术中的应用价值。方法回顾性分析2018年1月~2020年11月由同一位术者完成的73例腹腔镜膀胱根治性切除尿流改道术资料，其中回肠膀胱50例，原位膀胱13例，输尿管皮肤造口9例，结肠膀胱1例。25例在盆腔淋巴结清扫、游离输尿管、膀胱切除后使用缝线或Hemolok重建盆腔侧腹膜(重建组)，其余48例常规手术。结果重建组排气早［中位数3(2~4) d vs. 3(2~16) d，Z=-2.390，P=0.017］，排便早［3(2~5) d vs. 4(2~16) d，Z=-2.992，P=0.003］，引流时间短［7(4~14)d vs. 10.5(4~22)d，Z=-2.297，P=0022］，术后并发症少［2例(8%)vs.14例(29%)， χ2=4.303，P=0.038］，2组术中出血量、手术时间、术后住院时间差异无统计学意义(P>0.05)。结论盆腔侧腹膜重建安全可行，能促进肠道功能恢复，缩短引流时间，降低术后并发症率，并未增加手术时间。
Abstract:
ObjectiveTo analyze the clinical application value of pelvic peritoneum reconstruction in laparoscopic radical cystectomy and urinary diversion.MethodsA retrospective analysis was made on 73 patients undergoing laparoscopic radical cystectomy performed by the same surgeon (including 50 cases of ileal bladder, 13 cases of orthotopic bladder, 9 cases of ureteral skin stoma, and 1 case of colonic bladder) from January 2018 to November 2020. There were 25 cases given sutures or Hemolok to reconstruct the pelvic peritoneum (reconstruction group), and the remaining 48 cases underwent routine surgery.ResultsThe reconstruction group got earlier intestinal ventilation ［3 (2-4) d vs. 3 (2-16) d, Z=-2.390, P=0.017］, earlier defecation ［3 (2-5) d vs. 4 (2-16) d, Z=-2.992, P=0.003］, shorter drainage time ［7 (4-14) d vs. 10.5 (4-22) d, Z=-2.297, P=0.022］, and less postoperative complications ［2 cases (8%) vs. 14 cases (29%), χ2=4.303, P=0.038］. There was no statistically significant difference in blooding loss, operation time and postoperative hospital stay between the two groups (P>0.05).ConclusionReconstruction of the pelvic peritoneum is safe and feasible, and can promote the recovery of intestinal function, shorten the drainage time, reduce the postoperative complication rate, and not increase the operation time.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金面上项目(81572107)；安徽医科大学第二附属医院临床研究培育计划项目(2020LCZD03)**通讯作者，Email：biliangkuan@126.com
更新日期/Last Update: 2022-02-10