中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2015年
8期
604-606
,共3页
阴雷%徐丹枫%任吉忠%崔心刚%刘玉杉%高轶%姚亚成%吴震杰%叶剑青
陰雷%徐丹楓%任吉忠%崔心剛%劉玉杉%高軼%姚亞成%吳震傑%葉劍青
음뢰%서단풍%임길충%최심강%류옥삼%고질%요아성%오진걸%협검청
前列腺癌%腹腔镜%根治性前列腺切除术%并发症
前列腺癌%腹腔鏡%根治性前列腺切除術%併髮癥
전렬선암%복강경%근치성전렬선절제술%병발증
Prostate cancer%Laparoscopes%Radical prostatectomy%Complications
目的 报告单中心10年418例腹膜外腹腔镜下根治性前列腺切除术(extraperitoneal laparoscopic radical prostatectomy,EPLRP)的围手术期指标以及术后功能学、肿瘤学结果.方法 回顾性分析2005年3月至2015年3月418例EPLRP患者资料.患者年龄(67.8±6.7)岁,术前前列腺特异性抗原(15.9±7.0)μg/L.临床分期:T1a～b期8例,T1c期198例,T2期123例,T3期89例.结果 418例手术时间(144.4 ±58.4)min,术中出血量(164.0 ±231.1)ml,4例(0.9％)中转开放.术后引流管留置时间(6.9 ±4.8)d.术后漏尿发生率4.5％(19例),切缘阳性率为14.6％(61例).术后1年控尿恢复率为87.8％ (367/418),术后2年生化复发率为17.9％ (75/418).结论 EPLRP是治疗局限性前列腺癌有效的微创手术方式,可以取得满意的肿瘤学和功能学结果.
目的 報告單中心10年418例腹膜外腹腔鏡下根治性前列腺切除術(extraperitoneal laparoscopic radical prostatectomy,EPLRP)的圍手術期指標以及術後功能學、腫瘤學結果.方法 迴顧性分析2005年3月至2015年3月418例EPLRP患者資料.患者年齡(67.8±6.7)歲,術前前列腺特異性抗原(15.9±7.0)μg/L.臨床分期:T1a～b期8例,T1c期198例,T2期123例,T3期89例.結果 418例手術時間(144.4 ±58.4)min,術中齣血量(164.0 ±231.1)ml,4例(0.9％)中轉開放.術後引流管留置時間(6.9 ±4.8)d.術後漏尿髮生率4.5％(19例),切緣暘性率為14.6％(61例).術後1年控尿恢複率為87.8％ (367/418),術後2年生化複髮率為17.9％ (75/418).結論 EPLRP是治療跼限性前列腺癌有效的微創手術方式,可以取得滿意的腫瘤學和功能學結果.
목적 보고단중심10년418례복막외복강경하근치성전렬선절제술(extraperitoneal laparoscopic radical prostatectomy,EPLRP)적위수술기지표이급술후공능학、종류학결과.방법 회고성분석2005년3월지2015년3월418례EPLRP환자자료.환자년령(67.8±6.7)세,술전전렬선특이성항원(15.9±7.0)μg/L.림상분기:T1a～b기8례,T1c기198례,T2기123례,T3기89례.결과 418례수술시간(144.4 ±58.4)min,술중출혈량(164.0 ±231.1)ml,4례(0.9％)중전개방.술후인류관류치시간(6.9 ±4.8)d.술후루뇨발생솔4.5％(19례),절연양성솔위14.6％(61례).술후1년공뇨회복솔위87.8％ (367/418),술후2년생화복발솔위17.9％ (75/418).결론 EPLRP시치료국한성전렬선암유효적미창수술방식,가이취득만의적종류학화공능학결과.
Objective To report a 10-year single-centre experience in extraperitoneal laparoscopic radical prostatectomy (EPLRP) for localized prostate cancer and report perioperative,functional and oncologic outcome.Methods From 2005 to 2015,418 men with localized prostate cancer underwent EPLRP at urology department of Shanghai Changzheng Hospital.The mean preoperative prostate-specific antigen (PSA) was 15.9 ± 7.0 μg/L and mean age was 67.8 ± 6.7 years.Stage distributions were cT1a-b in 8 cases,cT1c in 198 cases,cT2 in 123 cases and cT3 in 89 cases.Disease recurrence was defined as PSA≥ 0.2 μg/L in 2 consecutive measurements.Results Mean operation time,mean blood loss and drainage removal time were 144.4 ±58.4 min,164.0 ±231.1 ml and 6.9 ±4.8 d.There were 4 conversions to open surgery.The urine leak rate was 4.5％,and rate of positive surgical margins was 14.6％.The continence rate was 87.8％ (367/418) at 12 month after operation,and the overall PSA recurrence rate at 2 years was 17.9％ (75/418).Conclusion EPLRP could be an effective minimally invasive approach for localized prostate cancer,and patients can expect satisfactory outcome in experienced hand.
