摘要
目的探讨腹腔镜下经腹及经腹膜外入路对前列腺癌根治术患者的近远期疗效。方法回顾性选择75例行前列腺癌根治术的患者,根据不同手术入路,分为A组(经腹入路)及B组(经腹膜外入路),对比两组的围术期指标、术中及术后1年并发症、术后5年生化复发率及拔管时、术后1年、5年的完全尿控率。结果两组的术中输血比率、术后疼痛评分、胃肠道恢复时间对比无统计学意义,P> 0. 05;两组手术时间、术中出血量、留置导尿管时间、术后住院时间对比有统计学意义,P <0. 05。两组术中并发症及术后1年并发症发生率对比无统计学意义,P> 0. 05。两组术后5年生化复发率及术后1年、5年完全控尿率对比无统计学意义,P> 0. 05;两组拔管时完全控尿率对比有统计学意义,P <0. 05。结论经腹入路及经腹膜外入路有相同的远期控瘤及尿控效果,但经腹膜外入路早期尿控效果较经腹入路好,其可缩短术后住院天数及手术时间,减少围术期并发症及术中出血量,但因手术操作空间较小,会增加术后吻合口漏的发生,临床上应根据具体情况选择合适的手术方式。
Objective To analyze the short and long-term curative effect analysis of abdominal and peritoneal approach on patients with radical surgery for prostate cancer. Methods 75 cases with radical surgery for prostate cancer were retrospective selected,and were divided into A group( abdominal approach) and B group( peritoneal approach),the perioperative indicators,intraoperative complications and postoperative complications for 1 year,the biochemical recurrence rate after surgery for 5 years,the total urinary control rate at tube drawing and after surgery for 1 year and 5 years of the 2 groups were compared. Results The intraoperative blood transfusion rate,postoperative pain score,gastrointestinal recovery time of the 2 groups had no significant difference,P > 0. 05;the operation time,intraoperative bleeding,indwelling catheter time,postoperative hospital stay of the 2 groups had significant difference,P < 0. 05;the intraoperative complication and postoperative complications for 1 year and 5 year of the 2 groups had no significant difference,P > 0. 05. The total urinary control rate at tube drawing had significant difference,P < 0. 05.Conclusion The abdominal approach and peritoneal approach had same long-term control and urinary control effect,while the early urinary control effect of abdominal approach is better than that of the peritoneal approach,which can shorten the intraoperative time,postoperative hospitalization duration and intraoperative hemorrhage and perioperative complications,while the operation space is small,could increase the postoperative anastomotic leakage incidence rate,the appropriate surgical method should be selected according to the specific situation clinically.
作者
许平
王贵荣
高飞
XU Ping;WANG Guirong;GAO Fei(The Second Hospital of Yulin,Yulin,719000)
出处
《实用癌症杂志》
2019年第7期1212-1215,共4页
The Practical Journal of Cancer
关键词
经腹入路
经腹膜外入路
前列腺癌根治术
近远期疗效
Abdominal approach
Peritoneal approach
Radical surgery for prostate cancer
Short and long-term effect
