腹腔镜下膀胱癌根治术48例临床研究

Clinical research on 48 cases of laparoscopic bladder cancer

目的探讨腹腔镜下进行膀胱癌根治性切除的安全性和疗效。方法回顾性分析2009年10月～2011年10月在我院采用腹腔镜下行膀胱癌根治术的48例膀胱癌患者的临床资料,将此48例患者作为观察组,将同期采用传统手术治疗的48例患者作为对照组,比较两组患者的手术时间、术中出血量、住院时间,观察术后尿漏、肠粘连、感染的发生例数。结果观察组手术时间(7.2±1.7)h,术中出血量(742.5±69.5)mL,住院时间(8.6±3.2)d,术后发生尿漏3例,肠粘连2例,感染3例;对照组分别为(8.9±2.4)h、(864.2±112.6)mL、(14.1±5.3)d、14、13、11例。两组比较差异有统计学意义(P<0.05)。结论腹腔镜下膀胱癌根治术治疗膀胱癌具有手术创伤小、患者术后恢复快等优点,值得临床研究推广。

Objective To probe the safety and efficacy of bladder cancer by laparoscopic radical excision. Methods Retrospective analysis from October 2009 to October 2011 48 descending bladder cancer patients by our laparoscopic radical excision with bladder cancer clinical material,and the same period under the traditional surgical treatment of 48 patients as control group, compared with two groups of patient＇s operation time, peri-operative bleeding, the length of time. Results The observation group＇s operation time was （7.2±1.7 ） h, peri-operative bleeding was （742.5±69.5） mL,the length of time was （8.6±3.2）d,the control group＇s were （8.9±2.4） h, （864.2±112.6） mL and （14.1±5.3） d,the comparative differences between groups were statistically significant （P 〈 0.01 ）. Conclusion Bladder cancer treat with Laparoscopic cystectomy possess small trauma, fast postoperative recovery and other advantages,is worth clinicaling research promotion.