CAJ | 학술논문

回顾性分析2003年8月至2013年6月24例腹腔镜根治性全膀胱切除术后近期非计划二次手术患者的临床资料.二次手术的原因有:肠损伤、创面出血、肠吻合口瘘、深静脉血栓、肠梗阻、单J管滑脱等.二次手术后均获痊愈,术后发生并发症4例,分别为切口感染2例、尿漏1例、肺部感染1例,行对症处理治愈.严格选择手术适应证、规范手术操作以及针对膀胱癌患者的一些特殊措施,是减少腹腔镜根治性全膀胱切除术后近期非计划二次手术的关键.
회고성분석2003년8월지2013년6월24례복강경근치성전방광절제술후근기비계화이차수술환자적림상자료.이차수술적원인유:장손상、창면출혈、장문합구루、심정맥혈전、장경조、단J관활탈등.이차수술후균획전유,술후발생병발증4례,분별위절구감염2례、뇨루1례、폐부감염1례,행대증처리치유.엄격선택수술괄응증、규범수술조작이급침대방광암환자적일사특수조시,시감소복강경근치성전방광절제술후근기비계화이차수술적관건.
The clinical data of 24 bladder cancer patients reoperated shortly after laparoscopic radical cystectomy were retrospectively analyzed.The reoperative reasons included intestinal injury,wound bleeding,intestinal anastomosis fistula,deep vein thrombosis,ileus and single-J tube slipping.All of them were cured after reoperation.The postoperative complications were infected incisional wound (n =2),urinary leakage (n =1) and pulmonary infection (n =1).All were cured by symptomatic treatments.The keys of reducing the rate of reoperation shortly after laparoscopic radical cystectomy included selecting indications strictly,standardizing operative procedures and adopting special measures.