|
|
|
| Clinical Comparison of Laparoscopic Radical Cystectomy and Open Surgery |
| SU Zhouquan, YU Liyun, WEI Sujie, et al |
| Kaiping Central Hospital, Guangdong Kaiping 529300, China |
|
|
|
|
Abstract Objective: To investigate and compare the clinical efficacy of laparoscopic radical cystectomy and open surgery. Methods: 100 patients with bladder cancer undergoing radical cystectomy admitted from January 2015 to July 2017 were randomly divided into two groups. Laparoscopic radical cystectomy was performed in patients with laparoscopic surgery, while patients in open group The patients were given open surgery. The clinical indexes, perioperative complications and quality of life were compared between the two groups. Results: The ASA score, intraoperative blood loss, intraoperative blood transfusion, anal exhaust time, dietary recovery time, pelvic drainage time and hospitalization time were significantly lower in the laparoscopic group than in the open group. The perioperative overall complication rate (P <0.05). The postoperative blood transfusion rate was significantly higher than that in the open group (P <0.05). There was a significant difference between the open group and the control group There was a significant difference between the two groups (P <0.05). Conclusion: Compared with open surgery, laparoscopic radical cystectomy has the advantages of low trauma, rapid recovery after operation, fewer complications and better long-term prognosis.
|
|
|
|
|
|
[1] 贾高臻,刘安伟,董凯雁,等.开放、腹腔镜及机器人根治性膀胱切除术的疗效及围术期并发症比较(附325例报告)[J].临床泌尿外科杂志,2017,32(1):42~45.
[2] 孟旭辉,黄懿.腹腔镜与开放手术开展根治性膀胱切除术的Meta分析[J].现代肿瘤医学,2014,22(11):2653~2657.
[3] 吴岑,苏仲宁,伍伯聪,等.腹腔镜与开放手术行根治性全膀胱切除联合原位回肠新膀胱术的对照研究[J].重庆医学,2015,44(33):4692~4694.
[4] le Carpentier M,Merlot B,Bot Robin V,et al.Partial cystectomy for bladder endometriosis:robotic assisted laparoscopy versus standard laparoscopy.[J].Gynecologie,obste trique&fertilite,2016,44(6):315~321.
[5] 王晓东,王元林,石华,等.腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床研究[J].中国内镜杂志,2016,22(2):42~45.
[6] Shao Ming-Jun,Hu Min,He Yun-Qin,et al.AMH trend after laparoscopic cystectomy and ovarian suturing in patients with endometriomas.[J].Archives of gynecology and obstetrics,2016,293(5):1049~1052. |
|
|
|
2018, Vol. 24 
