摘要
目的探讨使用机器人辅助腹腔镜扩大膀胱部分切除术治疗脐尿管癌的安全性和临床疗效。方法 2014年9月至2017年3月,对南京鼓楼医院收治的3例脐尿管癌患者应用机器人辅助腹腔镜扩大膀胱部分切除术,对临床资料、手术时间、术中失血量、术后并发症等指标进行分析,评价手术效果。结果 3例患者均在机器人辅助腹腔镜下完成扩大膀胱部分切除手术,平均手术时间190(180、190、200)min,平均术中失血量96(80、100、110)mL,围手术期未见明显并发症,病理提示2例为脐尿管粘液腺癌,1例为脐尿管肠型腺癌,3例切缘均为阴性,平均随访时间12(4、12、18)个月,均未发现复发转移。结论机器人辅助腹腔镜扩大膀胱部分切除术治疗脐尿管癌安全可行,可作为治疗脐尿管癌一种有效手术方式。
Objective To explore the safety and clinical efficacy of robot-assisted laparoscopic extended partial cystectomy in the treatment of urachal carcinoma. Methods The clinical data of 3 patients with urachal carcinoma treated with ro- bot-assisted laparoscopic extended partial cystectomy during Sep. 2014 and Mar. 2017 in Nanjing Drum Tower Hospital were retrospectively analyzed. The surgical results were evaluated. Results The average operation time was 190 （180,190,200） min; the average intraoperative blood loss was 96 （80,100,110） mL; no significant complications were observed in the periop- erative period. Pathological results showed that 2 cases were mucinous adenocarcinoma,and 1 case was intestinal adenocarcino- ma. The incisal margin in all 3 cases was negative. During the follow-up of 12 （4,12,18） months, no tumor recurrence or distant metastasis occurred. Oonclusion Robot-assisted laparoscopic extended partial cystectomy is safe and feasible in the treatment of urachal carcinoma.
出处
《现代泌尿外科杂志》
CAS
2017年第12期899-902,共4页
Journal of Modern Urology
基金
国家自然科学基金(No.81572519)
