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    伍宏亮, 关翰, 陈志军, 杨帅, 代昌远, 王成勇, 汪盛, 刘建民, 李庆文. 经腹与经腹膜外腔镜下根治性前列腺切除术的结局指标比较[J]. 蚌埠医科大学学报, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
    引用本文: 伍宏亮, 关翰, 陈志军, 杨帅, 代昌远, 王成勇, 汪盛, 刘建民, 李庆文. 经腹与经腹膜外腔镜下根治性前列腺切除术的结局指标比较[J]. 蚌埠医科大学学报, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
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    WU Hong-liang, GUAN Han, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, WANG Cheng-yong, WANG Sheng, LIU Jian-min, LI Qing-wen. Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches[J]. Journal of Bengbu Medical University, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
    Citation: WU Hong-liang, GUAN Han, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, WANG Cheng-yong, WANG Sheng, LIU Jian-min, LI Qing-wen. Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches[J]. Journal of Bengbu Medical University, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
    shu

    经腹与经腹膜外腔镜下根治性前列腺切除术的结局指标比较

    Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches

      摘要
    • 摘要:
      目的比较经腹与经腹膜外入路腔镜下前列腺癌根治术治疗前列腺癌病人的临床疗效。
      方法回顾性分析2017年1月到2020年1月进行50例腔镜下前列腺癌根治术病人的一般资料，按照手术入路分为经腹入路（经腹组）29例和接受经腹膜外入路21例。
      结果2组术中及术后的输血率差异无统计学意义（P>0.05）。腹膜外入路组较经腹入路组低（P < 0.01）。腹膜外入路组较经腹入路组的手术时间、术中失血量、完全经口饮食的时间、引流管拔除时间和住院时间减少（P < 0.05~P < 0.01）。经腹入路组术后拔出尿管后即刻控尿率低于腹膜外入路组（P < 0.05）。经腹组围手术期并发症发生率高于腹膜外组（P < 0.05）。
      结论经腹入路与经腹膜入路两种方式手术均安全有效，且切缘阳性率无明显差异。但腹膜外入路具有手术时间短、住院时间短、出血少、并发症少等优势。

       

      Abstract:
      ObjectiveTo compare the clinical outcome of laparoscopic radical prostatectomy(LRP) between transperitoneal and extraperitoneal approaches.
      MethodsThe clinical data of 50 patients treated with LRP from January 2017 to January 2020 were retrospectively analyzed.The patients were divided into the transperitoneal group(29 cases) and extraperitoneal group(21 cases) according to the surgical approach.
      ResultsThere was no statistical significance in the intraoperative and postoperative blood transfusion rate between two groups(P>0.05).The operative time, intraoperative blood loss, time of complete oral diet, removal time of drainage tube and hospital stay time in the extraperitoneal group reduced compared with the transabdominal group(P < 0.05 to P < 0.01).The rate of immediate urinary continence after catheter removal in transabdominal group was lower than that in extraperitoneal group(P < 0.05).The incidence rate of perioperative complication in transabdominal group was higher than that in extraperitoneal group(P < 0.05).
      ConclusionThe extraperitoneal-LRP and transabdominal-LRP are safe and effective, there is no significant difference in the positive rate of cutting edge.The extraperitoneal approach has the advantages of shorter operation time, shorter hospital stay, less bleeding and fewer complications.

       

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