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目的比较腹腔镜膀胱癌根治术(LRC)与开放性膀胱癌根治术(ORC)两种手术方式治疗膀胱癌的临床疗效。方法对48例膀胱癌患者行腹腔镜下根治性膀胱全切+回肠膀胱腹壁造口术。结果 LRC手术时间长于ORC组,在术后血红蛋白(Hb)下降、术后肠道功能恢复时间、术后盆腔引流管留置时间、术后住院时间方面明显小于ORC组,差异有统计学意义(P<0.0001);在术后并发症(尿瘘、尿路感染、肠粘连等)差异无统计学意义(P>0.05)。结论与ORC比较,LRC具有失血量少、创伤小、术后恢复快等优点,将成为治疗膀胱癌的主要手术方式之一。
Objective To compare the clinical efficacy of laparoscopic radical mastectomy (LRC) and open radical mastectomy (ORC) in the treatment of bladder cancer. Methods 48 cases of bladder cancer patients underwent laparoscopic radical cystectomy + ileal bladder abdominal wall ostomy. Results The operation time of LRC was longer than that of ORC group. The postoperative hemoglobin (Hb) decreased, the postoperative recovery time of intestinal function, postoperative pelvic drainage tube indwelling time and postoperative hospital stay were significantly less than ORC group (P <0.0001). There was no significant difference in postoperative complications (urinary fistula, urinary tract infection, intestinal adhesion, etc.) (P> 0.05). Conclusion Compared with ORC, LRC has the advantages of less blood loss, less trauma and faster recovery after operation, which will become one of the main surgical ways to treat bladder cancer.