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目的:探讨女性腹腔镜膀胱全切术+回肠新膀胱术的临床应用并总结临床体会。方法:2011年1月~2015年12月,对24例女性膀胱癌患者行腹腔镜膀胱全切术+回肠新膀胱术。随访10~46个月,平均26.4个月。观察患者围手术期及远期并发症以及患者排尿情况。结果:24例患者均成功完成手术,无严重并发症发生。平均手术时间(287±38)min,平均术中出血量(226±28)ml。术后3例出现轻度尿失禁,2个月后缓解。1例反复出现尿潴留。随访期内无肿瘤复发转移。结论:对于女性膀胱癌患者,腹腔镜膀胱全切术+回肠新膀胱术并发症少,复发率低,有较好的储尿和排尿功能。
Objective: To investigate the clinical application of laparoscopic total hysterectomy and ileal neo-bladder surgery and to summarize the clinical experience. Methods: From January 2011 to December 2015, 24 patients with bladder cancer underwent laparoscopic total hysterectomy and ileal neo-bladder surgery. Follow-up 10 to 46 months, an average of 26.4 months. Observe the perioperative and long-term complications of patients and urination of patients. Results: Twenty-four patients had successful operation without serious complications. The average operation time (287 ± 38) min, the average blood loss (226 ± 28) ml. Postoperative three cases of mild urinary incontinence, 2 months after remission. One case of recurrent urinary retention. No tumor recurrence and metastasis was observed during the follow-up period. Conclusions: For female patients with bladder cancer, laparoscopic total mastectomy + ileal neo-bladder surgery less complications, low recurrence rate, better urine storage and urination.