第一章 腹腔镜下膀胱部分切除术治疗膀胱憩室.PDFVIP

·6 · doi 10.3969/j.issn. 1674-4500.2017.01.02 分子影像学分子影像第年第4040卷第卷第11期期 临床研究 腹腔镜下膀胱部分切除术治疗膀胱憩室腹腔镜下膀胱部分切除术治疗膀胱憩室 1 2 1 谢进东 ，徐啊白 ，陈烈钳 1 2 惠州市第一人民医院泌尿外科，广东 惠州 516000 ；南方医科大学珠江医院泌尿外科，广东 广州 510000 摘要：目的 总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法 回顾性分析2014 年1月~2015 年 10月我科5 例腹腔镜下膀胱部分切除术病例，4 例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术，1例行经尿道膀胱颈切开 术+腹腔镜下膀胱部分切除术。结果 5 例患者手术均成功，平均手术时间140±23.7 min ，平均出血量65± 15.2 mL ，无需输血，术 中、术后未出现严重并发症，术后2~3 d 拔除引流管，平均住院时间7.4± 1.1 d。结论 对于膀胱出口梗阻合并膀胱憩室病例，行经 尿道电切术+腹腔镜下膀胱部分切除术，具有创伤小、出血少、恢复快、并发症少、住院时间短等优点，是微创治疗膀胱憩室安全、 可行的手术方法。 关键词：腹腔镜；TUERP ；膀胱憩室 Clinical effect of laparoscopic partial bladder resection in the treatment of bladder diverticulum 1 2 1 XIE Jindong , XU Abai , CHEN Lieqian 1Department of Urology,The First Peoples Hospital of Huizhou, Huizhou 516000, China; 2Department of Urology, Zhujiang Hospital of Southern Medical University, Guangzhou 510000, China Abstract: Objective To assess the clinical efficacy of laparoscopic partial bladder resection in the treatment of bladder diverticulum and to explore the application value of it. Methods Retrospective analysis was applied to analysis cases who were given laparoscopic partial bladder resection from January 2014 to October 2015. Four cases were given transurethral enucleativeresection of the prostate and laparoscopic partial bladder resection, 1 case was underwent transurethral bladder neck incision surgery and laparoscopic partial bladder resection. Results The surgeries were successful in 5 cases. The average operation time was 140± 23.7 min, with average bleeding volume of 65 ± 15.2 mL. There was no need of blood transfusion. There were no serious complications after the