完全3D腹腔镜在膀胱癌根治+原位回肠新膀胱术中的应用

来源 :第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿 | 被引量 : 0次 | 上传用户：wren200

【摘要】

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【作者】

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徐东亮谈鸣岳王小海阮渊仲晨蒋琪邵怡夏术阶

【机构】

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上海市第一人民医院泌尿外科 200080

【出处】

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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿

【发表日期】

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2015年9期

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探讨完全3D腹腔镜下根治性膀胱切除术+原位回肠新膀胱术治疗膀胱癌的安全性、可行性及其优势.分析2013年11月-2015年5月采用3D腹腔镜(美国Viking)进行完全腹腔镜下的根治性膀胱全切除术+原位回肠新膀胱的尿流改道术的10例肌层浸润性膀胱癌患者.其中男8例,女2例.年龄49-74岁.手术步骤主要分为三步,并均完全在3D腹腔镜下完成,包括1)盆腔、腹膜后Superextended淋巴结清扫,清扫的范围包括闭孔、髂内、髂外、骶前、髂总以及肠系膜下动脉水平以下的腹主动脉旁、腔静脉旁淋巴结;2)全膀胱切除,男性包括前列腺和精囊;女性包括子宫和附件;3)回肠新膀胱制作及输尿管、尿道吻合,截取距回盲部约15cm的30cm长回肠,制作回肠新膀胱.

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