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目的:探讨腹腔镜辅助下无气腹小切口手术在膀胱癌根治术中的应用效果。方法:选取2014年7-2017年7月在医院接受治疗膀胱癌根治手术的70例患者作为这次研究的分析对象,其中常规组35例患者应用常规的腹腔镜辅助下进行小切口根治术,研究组的35例患者应用腹腔镜下无气腹小切口根治手术,比较两组患者的治疗效果。结果:研究组患者手术时间、术后拔管时间、胃肠道恢复时间、住院时间均低于常规组,术中出血时间低于对照组,组间差异具有统计学意义(P<0.05)。结论:在膀胱癌根治术中应用腹腔镜辅助下无气腹小切口手术,安全有效,值得临床推广。
Objective: To explore the application of laparoscopic assisted small incision without pneumoperitoneum in radical mastectomy of bladder cancer. Methods: A total of 70 patients undergoing radical resection of bladder cancer from July 2014 to July 2017 in our hospital were selected as the analysis objects. 35 patients in the conventional group were treated with conventional laparoscopic minimally invasive radical mastectomy. 35 patients in the study group were treated with laparoscopic radical pneumonectomy without pneumoperitoneum, and the treatment effect was compared between the two groups. Results: The operation time, extubation time, gastrointestinal recovery time and hospitalization time were all lower in the study group than those in the control group. The bleeding time in the study group was lower than that in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion: Laparoscopic assisted small incision without pneumoperitoneum is a safe and effective method in radical resection of bladder cancer, which is worthy of clinical promotion.