浸润性膀胱癌NOSE手术联合乙状结肠原位新膀胱术6例报道

黄雷; 魏少忠; 崔殿生; 李有元; 贾全安; 刘三河; 邓康俐

doi:10.3971/j.issn.1000-8578.2019.19.0048

浸润性膀胱癌NOSE手术联合乙状结肠原位新膀胱术6例报道

Report on Six Cases of Invasive Bladder Cancer Treated with Natural Orifice Specimen Extraction Combined with Sigmoid Colon in situ Neo-bladder Surgery

摘要

摘要:
目的探讨浸润性膀胱癌经自然腔道标本取出（NOSE）手术联合乙状结肠原位新膀胱术的可行性及临床疗效。
方法 6例患者均行腹腔镜下根治性全膀胱切除术, 标本经肛门拖出, 完全腹腔镜下去除结肠带乙状结肠原位新膀胱术。观察6例患者术后控尿情况及并发症。
结果所有患者均按照预期目标完成手术, 无中转其他手术方式。6例患者均控尿良好, 无明显并发症。
结论浸润性膀胱癌NOSE手术联合乙状结肠原位新膀胱术具有微创、并发症少、控尿及储尿功能良好的特点, 是一种理想的尿流改道方式。

Abstract:
Objective To explore the feasibility and clinical efficacy of natural orifice specimen extraction(NOSE) combined with sigmoid colon in situ neo-bladder on invasive bladder cancer.
Methods For six patients undergoing laparoscopic radical cystectomy, the specimens were treated by pulling out through the anus and completely laparoscopic performance with sigmoid colon orthotropic neo-bladder. The postoperative urine control and postoperative complications were observed.
Results All patients completed the operation according to the expected goals, and no other surgical methods were transferred. All patients had good urine control and no obvious complications.
Conclusion NOSE combined with sigmoid colon in situ neo-bladder on invasive bladder cancer is an ideal method for urinary diversion. It is minimally invasive, with less complication, good urine control and storage.

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