国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2015年
1期
89-91
,共3页
膀胱肿瘤%腹腔镜%膀胱切除术
膀胱腫瘤%腹腔鏡%膀胱切除術
방광종류%복강경%방광절제술
Urinary Bladder%Neoplasms%Laparoscopes%Cystectomy
目的 总结腹腔镜下膀胱部分切除术治疗膀胱憩室癌的可行性及疗效.方法 本组21例膀胱憩室癌患者,均行腹腔镜下膀胱部分切除术治疗,回顾性分析其临床资料及随访结果.结果 患者年龄69±7.2(59 ～78)岁,女15例,男6例,肉眼或镜下血尿入院19例,并膀胱结石2例.憩室大小6.1±2.5(3.4～8.9)cm,所有患者术前均行MRI结合其他影像学分期为≤T2N0M0,膀胱镜检成功17例,其余4例通过脱落细胞学获取明确诊断均为TCC.所有病例均行腹腔镜下包含憩室的膀胱部分切除术,术后即刻丝裂霉素膀胱灌注(病理为高危险者维持灌注).术后分期≤T2,分级≤Ⅱ级.随访6个月～2年,复发2例,其中进展1例.结论 腹腔镜下膀胱部分切除术治疗膀胱憩室癌效果良好,是一种安全可行的微创治疗手段.
目的 總結腹腔鏡下膀胱部分切除術治療膀胱憩室癌的可行性及療效.方法 本組21例膀胱憩室癌患者,均行腹腔鏡下膀胱部分切除術治療,迴顧性分析其臨床資料及隨訪結果.結果 患者年齡69±7.2(59 ～78)歲,女15例,男6例,肉眼或鏡下血尿入院19例,併膀胱結石2例.憩室大小6.1±2.5(3.4～8.9)cm,所有患者術前均行MRI結閤其他影像學分期為≤T2N0M0,膀胱鏡檢成功17例,其餘4例通過脫落細胞學穫取明確診斷均為TCC.所有病例均行腹腔鏡下包含憩室的膀胱部分切除術,術後即刻絲裂黴素膀胱灌註(病理為高危險者維持灌註).術後分期≤T2,分級≤Ⅱ級.隨訪6箇月～2年,複髮2例,其中進展1例.結論 腹腔鏡下膀胱部分切除術治療膀胱憩室癌效果良好,是一種安全可行的微創治療手段.
목적 총결복강경하방광부분절제술치료방광게실암적가행성급료효.방법 본조21례방광게실암환자,균행복강경하방광부분절제술치료,회고성분석기림상자료급수방결과.결과 환자년령69±7.2(59 ～78)세,녀15례,남6례,육안혹경하혈뇨입원19례,병방광결석2례.게실대소6.1±2.5(3.4～8.9)cm,소유환자술전균행MRI결합기타영상학분기위≤T2N0M0,방광경검성공17례,기여4례통과탈락세포학획취명학진단균위TCC.소유병례균행복강경하포함게실적방광부분절제술,술후즉각사렬매소방광관주(병리위고위험자유지관주).술후분기≤T2,분급≤Ⅱ급.수방6개월～2년,복발2례,기중진전1례.결론 복강경하방광부분절제술치료방광게실암효과량호,시일충안전가행적미창치료수단.
Objectives To observe the feasibility and superiority of Transperitoneal laparoscopic treatment of partial cystectomy for bladder diverticula tumor.Methods Data of 21 cases of bladder diverticula tumor,to whom Transperitoneal laparoscopic treatment of partial cystectomy were performed,were retrospectively studied.Results The age of patients was 69 ± 7.2 (range from 59 to 78) years old (Gross or microscopic hematuria in 19 cases,and bladder stones in 2 cases).The size of the diverticulum was 6.1 ± 2.5 (range from 3.4 to 8.9) cm,All cases were diagnosed with MRI combined with other imageological examination,and the clinical stages was earlier than T2N0M0.Cystoscopy was successful in 17 cases,and the remaining 4 cases through cytology were diagonosed as TCC.All patients underwent laparoscopic contains diverticulum partial cystectomy,The immediate postoperative intravesical instillation of Mitomycin were performed (pathology is high risk to maintain perfusion),Postoperative staging ≤ T2,≤ Ⅱ grade.Cases were follown-up for June to 2 years,Recurrence or relapse in 2 cases,including 1 cases of progress.Conclusions Transperitoneal laparoscopic treatment of partial cystectomy for bladder diverticula tumor is feasible,superior and reproducible.
