CAJ | 학술논문

目的通过对家犬进行气膀胱腹腔镜前列腺剜除术的实验研究,探讨如何利用腹腔镜技术经膀胱剜除前列腺的手术技巧.方法取8只4～6岁雄性家犬,气管麻醉下建立气膀胱,置人3个5 mm穿刺鞘,利用腹腔镜器械在膀胱内分离前列腺,直视下将前列腺完整剜除.扩大切口,取出前列腺组织,分别留置膀胱造瘘管和尿管.结果本组8例.1例因出血过多失败,其余7例手术成功,手术时间85～190 min,平均(125±42.3) min,术中出血20 ～ 180 ml.平均(45±30.8) ml.手术切除家犬前列腺组织12 ～ 36 ml,平均(18.8±7.2) ml.7例家犬手术后排尿通畅,无尿失禁发生.结论气膀胱腹腔镜前列腺剜除术的实验研究证实该手术设计是合理的,实际操作是可行的,手术创伤小、出血少、效果好,实验研究的成功经验可为临床所借鉴和应用.
목적 통과대가견진행기방광복강경전렬선완제술적실험연구,탐토여하이용복강경기술경방광완제전렬선적수술기교.방법 취8지4～6세웅성가견,기관마취하건립기방광,치인3개5 mm천자초,이용복강경기계재방광내분리전렬선,직시하장전렬선완정완제.확대절구,취출전렬선조직,분별류치방광조루관화뇨관.결과 본조8례.1례인출혈과다실패,기여7례수술성공,수술시간85～190 min,평균(125±42.3) min,술중출혈20 ～ 180 ml.평균(45±30.8) ml.수술절제가견전렬선조직12 ～ 36 ml,평균(18.8±7.2) ml.7례가견수술후배뇨통창,무뇨실금발생.결론 기방광복강경전렬선완제술적실험연구증실해수술설계시합리적,실제조작시가행적,수술창상소、출혈소、효과호,실험연구적성공경험가위림상소차감화응용.
Objective To explore the application of laparoscopic pneumovesical enucleation of the prostate by using this procedure on dogs.Methods Pneumovesicum was established in 8 male dogs ages 4 to 6 under anesthesia.Three trocas 5mm in diameter were put into the bladders; the prostates were dissected and enucleated laparoscopically.The incision sites were enlarged and the prostates were removed; and a bladder fistula tube and a catheter were placed.Results The procedure was successfully performed on 7 of 8 dogs but failed in one dog due to excessive bleeding.The surgical duration was 85 to 190 min [(125± 42.3)min in average],intraoperative blood loss was 20 to 180 ml [(45 ± 30.8)ml in averagel,and the removed tissue was 12 to 36ml [(18.8 ± 7.2)ml in average].All 7 dogs urinated smoothly after surgery and no incontinence occurred.Conclusions Our study shows laparoscopic enucleation of the prostate under pneumovesicum is reasonable,feasible,efficacious,and less invasive,and causes less bleeding.This successful experiment can be applicable to our clinical needs.