腔镜和传统Madigan耻骨后保留尿道前列腺切除术对比研究

Comparative Study on Portless Laparoscopic Prostatectomy and Madigan Prostatectomy in the Treatment of Benign Prostate Hytrerplasia

目的评价两种不同的手术方法治疗良性前列腺增生的疗效和术后并发症。方法 45例患者作为治疗组接受腔镜耻骨后保留尿道前列腺切除术,50例患者作为对照组接受传统耻骨后保留前列腺切除术,观察两组的手术效果和术后并发症。结果除手术时间较长外,在切口长度、尿管停留时间、出血量和住院时间方面治疗组与对照组比较具有明显差异(P<0.05)。治疗组在膀胱颈尿道损伤、切口感染和排尿困难并发症上和对照组相比统计学上都有显著性差异(P<0.05)。结论腔镜耻骨后保留尿道前列腺切除术具有微创、安全有效、并发症少特点,而且手术简单易学。

Objective To compare the curative effect and postoperative complications following portless laparoscopic prostatectomy and Madigan prostatectomy for the surgical treatment of benign prostate hytrerplasia. Methods 45 cases in the treatment group received the portless laparoscopic prostatectomy, while 50 cases in the control group received the typical Madigan. The length of incision, operation time, blood loss, hospital stay, postoperative complications and recurrence after surgery were assessed and compared statistically in both groups. Results The length of incision, catheter time, hospital stay and hemorrhage volumes in the treatment group were significantly fewer than those in the control group with significant difference （P 〈0.05）, but the operation time in the treatment group was longer than that in the control group. There was remarkably difference （P 〈0.05） in iatrogenic bladder and urethra injuries, incisional infection, dysuria. Conclusions Portless laparoscopic retropubic prostatectomy with reserving the prostatic urethra is minimally invasive, safe and effective, with fewer complications, and it is simple and easy to learn.