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目的:探讨腹腔镜膀胱部分切除术治疗膀胱憩室、膀胱良性肿瘤的可行性和应用效果。方法:采用经腹腔途径行腹腔镜膀胱部分切除术治疗3例膀胱憩室和1例膀胱副神经节瘤患者,手术操作包括膀胱部分切除和完全的腔内膀胱缝合。结果:4例手术均获得成功,平均手术时间80(60～120)min,术中平均出血76(40～100)ml,术中、术后无明显并发症,平均术后住院5(3～7)天。结论:采用腹腔镜膀胱部分切除术治疗膀胱憩室和良性肿瘤是安全、可行的方法,具有微创、恢复快、住院时间短等优点,是治疗膀胱憩室和良性肿瘤的可选择的手术方法之一。
Objective: To investigate the feasibility and effect of laparoscopic partial cystectomy in treatment of bladder diverticulum and benign bladder tumor. Methods: Three cases of bladder diverticulum and one case of paraganglial ganglioneuria were treated by laparoscopic partial cystectomy via intraperitoneal approach. Surgical procedures included partial resection of the bladder and complete intraluminal bladder suture. Results: The operation was successful in all 4 cases. The average operation time was 80 (60-120) min and the average bleeding rate was 76 (40-100) ml during operation. There was no obvious complication after operation and the average postoperative hospital stay was 5 (3 ~ 7 days. Conclusions: Laparoscopic partial cystectomy for the treatment of bladder diverticulum and benign tumor is a safe and feasible method, which has the advantages of minimally invasive, rapid recovery and short hospital stay. It is one of the surgeries for the treatment of bladder diverticulum and benign tumor .