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目的探讨腹腔镜辅助下无气腹小切口膀胱癌根治术的疗效和安全性。方法采用腹腔镜辅助下无气腹小切口方法对14例膀胱癌患者行膀胱癌根治术,观察患者的手术时间、术中出血量、术后并发症及住院时间等。结果 14例患者手术均顺利进行,平均手术时间为363 min(270~518 min),术中平均出血量为540 ml(260~1 400 ml),术后平均4.3 d肠道功能恢复,10.2 d拔除引流管,33 d出院。无一例出现术中、术后大血管损伤、直肠损伤、尿失禁、尿漏、肠漏等并发症发生。术后随访6~28个月,无一例肿瘤复发或肿瘤特异性死亡。结论腹腔镜辅助下无气腹小切口膀胱癌根治术是一种安全、有效的微创方法,经济易行,适宜于基层医院开展。
Objective To investigate the efficacy and safety of laparoscopic assisted radical resection of bladder cancer without pneumoperitoneum. Methods Laparoscopic assisted small incision without pneumoperitoneum was performed in 14 patients with bladder cancer undergoing radical operation of bladder cancer. The operation time, intraoperative blood loss, postoperative complications and hospital stay were observed. Results The operation of 14 patients progressed smoothly with an average operation time of 363 min (270-518 min) and an average intraoperative blood loss of 540 ml (260-1 400 ml). The average postoperative recovery of intestinal function was 4.3 days and 10.2 days Remove the drainage tube, 33 d discharged. No case of intraoperative, postoperative vascular damage, rectal injury, urinary incontinence, urinary leakage, intestinal leakage and other complications. All the patients were followed up for 6 to 28 months. No tumor recurrence or tumor-specific death occurred. Conclusion Laparoscopic assisted small incision without pneumoperitoneum is a safe and effective minimally invasive radical operation. It is economical and feasible and suitable for primary hospitals.