腹腔镜前列腺癌根治术的回顾性分析

发布时间：2018-07-03 12:46

本文选题：腹腔镜 + 前列腺癌根治术　；参考：《吉林大学》2016年硕士论文

【摘要】：目的:本研究对收集的腹腔镜前列腺癌根治术患者的病历进行总结分析,探讨腹腔镜前列腺癌根治术的临床疗效及手术技巧,研究腹腔镜的临床应用价值。方法:收集我院2012年10月至2015年10月行腹腔镜治疗的前列腺癌根治术患者20例病人完整的临床资料。统计腹腔镜前列腺癌根治术患者年龄、术前前列腺体积、手术时间、术中出血量、术中中转开放手术情况、术中并发症、术后留置导尿时间、住院时间、术后并发症和临床病理等各方面指标,综合评价腹腔镜手术技术在前列腺癌根治手术中的应用效果。结果:患者年龄67.7±4.6岁,临床分期T2N0M0~T3b N0M0,前列腺特异抗原25.3±6.9ng/ml,Gleason评分7.4±2.1,前列腺体积46.4±11.0ml,腹腔镜者手术时间167.3±49.2min,术中出血量204.0±44.9ml,肠道恢复时间2.2±0.4天,引流时间为4.9±1.2天,导尿时间为21.8±3.6天,住院时间为11.8±2.6天。20例患者中直肠损伤中转开腹1例,切缘阳性者4例,占20%,对20例患者均进行不少于6个月的随访,截止到随访日期,生化复发者2例,完全尿控者19例,占95%。结论:腹腔镜在治疗前列腺癌患者的手术中,具有出血量少、引流时间短、住院时间短、术后并发症少等优点,易于被患者及家属接受,在临床中具有很好的应用价值。
[Abstract]:Objective: to investigate the clinical efficacy and operative skills of laparoscopic radical prostatectomy for prostate cancer and to study the clinical value of laparoscopic radical prostatectomy. Methods: the clinical data of 20 patients undergoing laparoscopic radical prostatectomy from October 2012 to October 2015 in our hospital were collected. The age, preoperative prostatic volume, operative time, intraoperative bleeding, intraoperative conversion to open operation, intraoperative complications, postoperative indwelling catheterization time, and hospital stay were counted, including age, preoperative prostatic volume, operative time, intraoperative bleeding, intraoperative complications, postoperative indwelling time, hospitalization time. Objective: to evaluate the effect of laparoscopic surgery in radical prostatectomy for prostate cancer. Results: the age of the patients was 67.7 卤4.6 years, clinical stage T2N0M0T3b N0M0, prostate specific antigen 25.3 卤6.9 ng / ml Gleason score 7.4 卤2.1, prostate volume 46.4 卤11.0ml, operative time of laparoscopy 167.3 卤49.2 min, intraoperative bleeding volume 204.0 卤44.9 ml, intestinal recovery time 2.2 卤0.4 days, drainage time 4.9 卤1.2 days, catheterization time 21.8 卤3.6 days. The hospitalization time was 11.8 卤2.6 days. Among the 20 patients with rectal injury, 1 case was converted to open surgery, 4 cases (20%) had positive margin of rectum, 20 cases (20 cases) were followed up for no less than 6 months. By the end of the follow-up date, 2 cases had biochemistry recurrence and 19 cases had complete urinary control (95%). Conclusion: laparoscopic surgery for patients with prostate cancer has the advantages of less bleeding, shorter drainage time, shorter hospital stay and less postoperative complications. It is easy to be accepted by patients and their families, and has a good clinical application value.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R737.25

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