本文選題：腹腔鏡 + 前列腺癌根治術(shù)　； 參考：《吉林大學(xué)》2016年碩士論文

【摘要】：目的:本研究對(duì)收集的腹腔鏡前列腺癌根治術(shù)患者的病歷進(jìn)行總結(jié)分析,探討腹腔鏡前列腺癌根治術(shù)的臨床療效及手術(shù)技巧,研究腹腔鏡的臨床應(yīng)用價(jià)值。方法:收集我院2012年10月至2015年10月行腹腔鏡治療的前列腺癌根治術(shù)患者20例病人完整的臨床資料。統(tǒng)計(jì)腹腔鏡前列腺癌根治術(shù)患者年齡、術(shù)前前列腺體積、手術(shù)時(shí)間、術(shù)中出血量、術(shù)中中轉(zhuǎn)開放手術(shù)情況、術(shù)中并發(fā)癥、術(shù)后留置導(dǎo)尿時(shí)間、住院時(shí)間、術(shù)后并發(fā)癥和臨床病理等各方面指標(biāo),綜合評(píng)價(jià)腹腔鏡手術(shù)技術(shù)在前列腺癌根治手術(shù)中的應(yīng)用效果。結(jié)果:患者年齡67.7±4.6歲,臨床分期T2N0M0~T3b N0M0,前列腺特異抗原25.3±6.9ng/ml,Gleason評(píng)分7.4±2.1,前列腺體積46.4±11.0ml,腹腔鏡者手術(shù)時(shí)間167.3±49.2min,術(shù)中出血量204.0±44.9ml,腸道恢復(fù)時(shí)間2.2±0.4天,引流時(shí)間為4.9±1.2天,導(dǎo)尿時(shí)間為21.8±3.6天,住院時(shí)間為11.8±2.6天。20例患者中直腸損傷中轉(zhuǎn)開腹1例,切緣陽性者4例,占20%,對(duì)20例患者均進(jìn)行不少于6個(gè)月的隨訪,截止到隨訪日期,生化復(fù)發(fā)者2例,完全尿控者19例,占95%。結(jié)論:腹腔鏡在治療前列腺癌患者的手術(shù)中,具有出血量少、引流時(shí)間短、住院時(shí)間短、術(shù)后并發(fā)癥少等優(yōu)點(diǎn),易于被患者及家屬接受,在臨床中具有很好的應(yīng)用價(jià)值。
[Abstract]:Objective: to investigate the clinical efficacy and operative skills of laparoscopic radical prostatectomy for prostate cancer and to study the clinical value of laparoscopic radical prostatectomy. Methods: the clinical data of 20 patients undergoing laparoscopic radical prostatectomy from October 2012 to October 2015 in our hospital were collected. The age, preoperative prostatic volume, operative time, intraoperative bleeding, intraoperative conversion to open operation, intraoperative complications, postoperative indwelling catheterization time, and hospital stay were counted, including age, preoperative prostatic volume, operative time, intraoperative bleeding, intraoperative complications, postoperative indwelling time, hospitalization time. Objective: to evaluate the effect of laparoscopic surgery in radical prostatectomy for prostate cancer. Results: the age of the patients was 67.7 鹵4.6 years, clinical stage T2N0M0T3b N0M0, prostate specific antigen 25.3 鹵6.9 ng / ml Gleason score 7.4 鹵2.1, prostate volume 46.4 鹵11.0ml, operative time of laparoscopy 167.3 鹵49.2 min, intraoperative bleeding volume 204.0 鹵44.9 ml, intestinal recovery time 2.2 鹵0.4 days, drainage time 4.9 鹵1.2 days, catheterization time 21.8 鹵3.6 days. The hospitalization time was 11.8 鹵2.6 days. Among the 20 patients with rectal injury, 1 case was converted to open surgery, 4 cases (20%) had positive margin of rectum, 20 cases (20 cases) were followed up for no less than 6 months. By the end of the follow-up date, 2 cases had biochemistry recurrence and 19 cases had complete urinary control (95%). Conclusion: laparoscopic surgery for patients with prostate cancer has the advantages of less bleeding, shorter drainage time, shorter hospital stay and less postoperative complications. It is easy to be accepted by patients and their families, and has a good clinical application value.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R737.25

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