3D腹腔镜与2D腹腔镜在前列腺癌根治术中的对比:回顾性队列研究（英文）

发布时间：2018-06-15 04:40

本文选题：D腹腔镜 + D腹腔镜　；参考：《南方医科大学学报》2017年01期

【摘要】：目的对3D腹腔镜与2D腹腔镜在前列腺癌根治术中的围手术期结果、功能性及肿瘤相关性结果进行比较。方法从2014年2月至2016年1月,72位临床局限性前列腺癌患者接受了腹腔镜下前列腺根治术,手术均由同一名有经验的术者操作完成。收集及评估患者的临床基本特征,围手术期结果,功能及肿瘤相关结果。结果 36位病人接受了3D腹腔镜前列腺癌根治术,另外36位病人接受了2D腹腔镜前列腺癌根治术。3D腹腔镜组比2D腹腔镜组手术时间短(167 min vs 218 min,P0.001),平均出血量少(86.11 m L vs 177.78 m L,P0.001),且两组术后3个月尿控率有统计学差异(88.89%vs 63.89%,P=0.026)。两组间手术并发症、性功能恢复及无生化复发率无明显差异。结论与2D腹腔镜下前列腺癌根治术相比,3D腹腔镜下前列腺癌根治术的手术时间更短,出血更少,术后早期尿控情况更好。
[Abstract]:Objective to compare the perioperative, functional and tumor-related results of 3D laparoscopy and 2D laparoscopy in radical prostatectomy for prostate cancer. Methods from February 2014 to January 2016, 72 patients with clinically localized prostate cancer underwent laparoscopic prostatectomy. Collect and evaluate basic clinical features, perioperative results, functional and tumor-related findings. Results 36 patients underwent 3D laparoscopic radical prostatectomy. The other 36 patients received 2D laparoscopic radical prostatectomy .3D laparoscopy group had shorter operation time than 2D laparoscopy group (167min vs 218min P 0.001g), and the average bleeding volume was 86.11ml vs 177.78 mL P0.001g. The urinary control rate of the two groups was 88.89 vs 63.89P0.026g at 3 months after operation. There was no significant difference in surgical complications, sexual function recovery and no biochemical recurrence between the two groups. Conclusion compared with 2D laparoscopic radical prostatectomy, 3D laparoscopic radical prostatectomy has shorter operation time, less bleeding and better early postoperative urinary control.
【作者单位】：南方医科大学南方医院泌尿外科;
【分类号】：R737.25

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