关于根治性膀胱切除术中淋巴结清扫的问题
被引量:3
摘要
根治性膀胱切除和尿流改道是肌层浸润性膀胱癌最有效的治疗手段,也是高危非肌层浸润性膀胱癌保留膀胱治疗后复发或进展的最终选择。由于手术复杂、时间长、出血和并发症多以及围手术期死亡率高等问题,根治性膀胱切除术既不易为患者所接受,也非医生乐而为之。根治性膀胱切除术中是否进行淋巴结清扫也存在争议,即便在美国一些大的医疗中心也是如此,约20%的根治性膀胱切除手术中淋巴结清扫情况不清楚。现就肌层浸润性膀胱癌淋巴结转移和根治术中淋巴结清扫的相关问题做一简要总结。
出处
《现代泌尿生殖肿瘤杂志》
2013年第2期65-66,共2页
Journal of Contemporary Urologic and Reproductive Oncology
参考文献10
-
1Stenzl A,Cowan NC,De Santis M. The updated EAU guidelines on muscle-invasive and metastatic bladder cancer[J].European Urology,2009,(04):815-825.
-
2Hellenthal NJ,Ramírez ML,Evans CP. Trends in pelvic lymphadenectomy at the time of radical cystectomy:1988 to 2004[J].The Journal of Urology,2009,(06):2490-2495.doi:10.1016/j.juro.2009.02.031.
-
3Leissner J,Ghoneim MA,Abol-Enein H. Extended radical lymphadenectomy in patients with urothilial bladder cancer:results of a prospective multicenter study[J].The Journal of Urology,2004,(01):139-144.doi:10.1097/01.ju.0000102302.26806.fb.
-
4余绍龙,侯国良,周芳坚,刘卓炜,韩辉,秦自科,李永红,张志凌,尧凯.改良全膀胱切除术治疗浸润性膀胱癌188例疗效总结[J].癌症,2009,28(5):500-505. 被引量:12
-
5Ghoneim MA,Abdel-Latif M,El-Mekresh M. Radical cystectomy for carcinoma of the bladder:2,720 consecutive cases 5 years later[J].Journal of Urology,2008,(01):121-127.
-
6Steven K,Poulsen AL. Radical cystectomy and extended pelvic lymphadenectomy:survival of patients with lymph node metastasis above the bifurcation of the common iliac vessels treated with surgery only[J].The Journal of Urology,2007,(04):1218-1224.doi:10.1016/j.juro.2007.05.160.
-
7Bruins HM,Huang GJ,Cai J. Clinical outcomes and recurrence predictors of lymph node positive urothelial cancer after cystectomy[J].The Journal of Urology,2009,(05):2182-2187.doi:10.1016/j.juro.2009.07.017.
-
8Dhar NB,Klein EA,Reuther AM. Outcome after radical cystectomy with limited or extended pelvic lymph node dissection[J].The Journal of Urology,2008,(03):873-878.doi:10.1016/j.juro.2007.10.076.
-
9Konety BR,Joslyn SA,O'Donnell MA. Extent of pelvic lymphadenectomy and its impact on outcome in patients diagnosed with bladder cancer:analysis of data from the surveillance,epidemiology and end results program data base[J].The Journal of Urology,2003,(03):946-950.doi:10.1097/01.ju.0000052721.61645.a3.
-
10Dangle PP,Gong MC,Bahnson RR. How do commonly performed lymphadenectomy templates influence bladder cancer nodal stage[J].The Journal of Urology,2010,(02):499-504.
二级参考文献11
-
1周芳坚,秦自科,刘卓炜,韩辉,吴志刚.肠代膀胱术中输尿管吻合方法的改进[J].临床泌尿外科杂志,2004,19(8):463-464. 被引量:15
-
2Stein JP, Lieskovsky G, Colte R, et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients [J]. J Clin Oncol, 2001,19(3):666-675.
-
3Lilien OM, Carney M. 25-year experience with replacement of the human bladder (Camey procedure) [J]. J Urol, 1984, 132(5) : 886-891.
-
4Prout G, Marshall VF. The prognosis with untreated bladder tumors [J]. Cancer, 1956,9(3):551-558.
-
5Soulie M, Straub M, Game X, et al. A muhicenter study of the morbidity of radical cystectomy in select elderly patients with bladder cancer [J]. J Urol, 2002,167(3) : 1325-1328.
-
6Obara W, Isurugi K, Kudo D, et al. Eight year experience with Studer ileal neobladder [J]. Jpn J Clin Oncol, 2006,36 (7) :418-424.
-
7Lambert EH, Pierorazio PM, Olsson CA, et al. The increasing use of intravesical therapies for stage T1 bladder cancer coincides with decreasing survival after cystectomy [J]. BJU Int, 2007,100( 1 ) : 33-36.
-
8Dhar NB, Klein EA, Reuther AM, et al. Outcome after radical cystectomy with limited or extended pelvic lymph node dissection [ J ]. J Urol, 2008,179 (3) : 873-878.
-
9周芳坚,刘卓炜,余绍龙,熊永红,韩辉,秦自科,李永红,王欢.改良全膀胱切除和原位新膀胱术重建下尿路功能[J].中国癌症杂志,2008,18(1):39-41. 被引量:6
-
10周芳坚,余绍龙,熊永红,李永红,刘卓炜,韩辉,秦自科.全膀胱切除和原位新膀胱术并发症的预防和处理[J].临床泌尿外科杂志,2008,23(7):489-491. 被引量:10
共引文献11
-
1余绍龙,林峰,黄小琴,邓永榆,温志鹏,陈智峰,王炎.全膀胱切除加回肠膀胱术治疗浸润性膀胱癌51例疗效分析[J].深圳中西医结合杂志,2010,20(2):95-98. 被引量:2
-
2《关于高危非肌层浸润性膀胱癌行根治性膀胱全切术手术指证的讨论》的评论[J].现代泌尿生殖肿瘤杂志,2010,2(6):376-376. 被引量:2
-
3葛永超,张力,冯金顺,陈世林,王道协,袁志浩,常保东,秦奋,龚同欣.改良膀胱全切原位新膀胱术21例[J].中国综合临床,2012,28(2):161-163. 被引量:1
-
4何中元,陈宁,赵良柱.输尿管腹壁皮瓣乳头成形在高龄膀胱癌患者中的应用[J].中国医药指南,2012,10(32):38-39. 被引量:1
-
5王会龙,魏金星,冯留顺,王庆伟,王智勇,张雪培,杨彦峰.经腹途径肾癌伴右心房下下腔静脉癌栓手术疗效观察[J].现代泌尿生殖肿瘤杂志,2013,5(2):67-70. 被引量:3
-
6周芳坚,刘卓炜,李永红.根治性膀胱切除和尿流改道手术效果的提高[J].现代泌尿生殖肿瘤杂志,2013,5(4):193-196. 被引量:2
-
7Zhi-Ling Zhang,Pei Dong,Yong-Hong Li,Zhuo-Wei Liu,Kai Yao,Hui Han,Zi-Ke Qin,Fang-Jian Zhou.Radical cystectomy for bladder cancer: oncologic outcome in 271 Chinese patients[J].Chinese Journal of Cancer,2014,33(3):165-171. 被引量:2
-
8吴毅,肖英明,李曾,杨盛柯,钟磊,谭政,毛顿,廖洪.根治性膀胱切除术围手术期并发症分析[J].四川医学,2017,38(2):219-222. 被引量:4
-
9柳琦,却晖,王斌,刘辉勇.膀胱癌膀胱全切除术后早期并发症的相关影响因素研究[J].癌症进展,2019,17(10):1195-1197. 被引量:7
-
10吴毅,钟磊,肖英明,李曾,杨盛柯,谭政,毛顿,廖洪.高龄患者根治性膀胱切除术安全性分析[J].现代泌尿生殖肿瘤杂志,2020,12(5):283-287.
同被引文献29
-
1张旭,高江平,符伟军,董隽,陈光富,徐阿祥,马鑫,李宏召,史立新,王威,朱捷.机器人辅助腹腔镜在泌尿外科手术中的临床应用(附500例报告)[J].微创泌尿外科杂志,2014,3(1):4-7. 被引量:29
-
2叶章群,管维.膀胱肿瘤根治性膀胱切除术及尿流改道方法的合理选择及应用[J].现代泌尿外科杂志,2007,12(1):4-6. 被引量:21
-
3Witjes J A,Compérat E,Cowan N C,et al.EAU Guidelines on Muscle-invasive and Metastatic Bladder Cancer:Summary of the 2013 Guidelines[J].Eur Urol,2014.65(4):778-792.
-
4Shao P,Li P,Ju X,et al.Laparoscopic radical cystectomy with intracorporeal orthotopic ileal neobladder:technique and clinical outcomes[J].Urology,2015,85(2):368-373.
-
5Menon M,Hemal A K,Tewari A,et al.Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion[J].BJU Int,2003,92(3):232-236.
-
6Guru K A,Sternberg K,Wilding G E,et al.The lymph node yield during robot-assisted radical cystectomy[J].BJU Int,2008,102(2):231-234;discussion234.
-
7Snow-Lisy D C,Campbell S C,Gill I S,et al.Robotic and laparoscopic radical cystectomy for bladder cancer:long-term oncologic outcomes[J].Eur Urol,2014,65(1):193-200.
-
8Fahmy O,Asri K,Schwentner C,et al.Current status of robotic assisted radical cystectomy with intracorporeal ileal neobladder for bladder cancer[J].J Surg Oncol,2015,112(4):427-429.
-
9Terrone C,Cracco C,Scarpa R M,et al.Supra-ampullar cystectomy with preservation of sexual function and ileal orthotopic reservoir for bladder tumor:twenty years of experience[J].Eur Urol,2004,46(2):264-269,269-270.
-
10Alkan E,Canda A E,Turan M,et al.Simultaneous robot assisted laparoscopic radical nephroureterectomy;genital tract and paravaginal nerve sparing radical cystectomy;superextended lymph node dissection and intracorporeal Studer pouch reconstruction for bladder cancer:Robotic hat-trick[J].Cent European J Urol,2014,67(3):257-260.
引证文献3
-
1张海波,张雪培,王声政,朱照伟,王汝霖,王志峰,可方.改良整体法机器人辅助腹腔镜根治性膀胱切除术73例报告[J].临床泌尿外科杂志,2016,31(5):402-405. 被引量:8
-
2张龙波.全膀胱切除尿路改道术后早期并发症及危险因素研究[J].临床医学研究与实践,2017,2(1):3-5. 被引量:2
-
3宋明泽.根治性膀胱切除术的进展[J].临床外科杂志,2019,27(11):1005-1007. 被引量:10
二级引证文献20
-
1罗一钊,何鹏.老年膀胱癌腹腔镜膀胱全切除术的临床疗效分析[J].中国老年保健医学,2016,14(6):29-30. 被引量:3
-
2吴俊龙,叶定伟.机器人辅助膀胱癌根治术围手术期事件研究现状[J].现代泌尿外科杂志,2017,22(10):799-802. 被引量:2
-
3柳琦,却晖,王斌,刘辉勇.膀胱癌膀胱全切除术后早期并发症的相关影响因素研究[J].癌症进展,2019,17(10):1195-1197. 被引量:7
-
4张启超.不同年龄段膀胱肿瘤患者临床病理特征和超声特征的比较[J].中国医学创新,2020,17(32):46-50.
-
5王健阁,朱照伟,范雅峰,张雪培.机器人膀胱癌根治术治疗75岁及以上膀胱癌[J].中国微创外科杂志,2021,21(1):18-22. 被引量:6
-
6梁丽萍.优质护理对开放根治性膀胱切除术治疗膀胱癌的应用效果研究[J].数理医药学杂志,2021,34(5):775-776. 被引量:2
-
7谢巧丽,付强,张波,王娟英.腹腔镜下全膀胱切除术后不同尿流改道方式治疗浸润性膀胱癌效果及对患者尿流动力学的影响[J].陕西医学杂志,2021,50(7):829-832. 被引量:3
-
8杨建兵,贺艳锋.不同尿流改道术对肌层浸润性膀胱癌根治性全膀胱切除术后患者生活质量的影响[J].临床医学研究与实践,2021,6(22):64-66.
-
9奉琴,刘玲,何其英,周艳,范冬萍.互联网+自我管理模式对膀胱癌行回肠膀胱造口病人延续期生活质量的影响研究[J].临床外科杂志,2021,29(10):971-975. 被引量:5
-
10陈倩,万晓琼,兰花.根治性膀胱切除术患者生活质量的影响因素及护理进展[J].当代护士(中旬刊),2021,28(10):14-16. 被引量:2
-
1黄健,刘皓,林天歆,许可慰,姚友生,谢文练,韩金利,黄海,董文,张彩霞,江春.腹腔镜下根治性膀胱切除术现状及展望:十年经验总结及文献系统分析[J].中华泌尿外科杂志,2012,33(11):805-809. 被引量:18
-
2冯辉,杨海生,赵玉海.前列腺增生合并非肌层浸润性膀胱癌经尿道同期电切术58例临床观察[J].现代诊断与治疗,2016,27(20):3914-3915.
-
3武广平,厉波,曹勇.钬激光联合吡柔比星膀胱灌注治疗非肌层浸润性膀胱癌的临床分析[J].山东大学学报(医学版),2010,48(12):97-99. 被引量:1
-
4黄友锋,林争艳.PVBT治疗多发性非肌层浸润性膀胱癌的临床研究[J].中外医学研究,2015,13(25):3-5.
-
5周岩.用经尿道钬激光膀胱肿瘤切除术治疗非肌层浸润性膀胱癌的疗效和安全性[J].当代医药论丛,2017,15(6):80-81. 被引量:6
-
6戴青岩.前列腺增生合并非肌层浸润性膀胱癌经尿道同期电切术20例临床思路探究[J].世界最新医学信息文摘,2016,16(7):54-55. 被引量:1
-
7程跃,蒋军辉,李和明,王国耀,沈志久,谢国海,严泽军,冷江涌,胡晓泉,潘辉,郑江.经尿道电切术治疗高危多发性非肌层浸润性膀胱癌(附21例报告)[J].现代泌尿生殖肿瘤杂志,2009,1(2):72-74. 被引量:4
-
8白云金,杨玉帛,王晓明,韩平.肌层浸润性膀胱癌保留膀胱治疗研究进展[J].现代泌尿外科杂志,2017,22(2):149-151. 被引量:8
-
9李新民,尹宗涛,祝岩,都业君,李晓密.连续瓣膜置换手术365例临床分析[J].辽宁医学杂志,2008,22(6):304-305. 被引量:2
-
10周建芳,陆鑫嫣.腹腔镜下输尿管切开取石术的护理[J].中国基层医药,2010,17(8):1151-1152.