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目的为了初步评价经腹腔镜下前列腺癌根治术的疗效。方法回顾分析2010年2月至2012年5月,我院行腹膜外腹腔镜前列腺癌根治术11例患者的临床资料。结果术前PSA均值为12.40ng.mL-1,Gleason评分均值为7.3;平均手术时间158min,平均出血量360mL,术中输血1例;术后病理检查切缘阳性1例,局部闭孔淋巴结转移1例;术后平均留置尿管时间为9.6d,住院时间均值为15.4d;术后平均随访时间为12.1个月,出现生化复发2例,不同程度尿失禁3例。结论腹腔镜下前列腺癌根治术是安全可行的,创伤小,术后恢复快。
Objective To evaluate the efficacy of laparoscopic radical prostatectomy. Methods The clinical data of 11 patients underwent extraperitoneal laparoscopic radical prostatectomy from February 2010 to May 2012 were retrospectively analyzed. Results The average preoperative PSA was 12.40ng.mL-1, the mean Gleason score was 7.3, the average operation time was 158min, the average amount of bleeding was 360mL, and 1 transfusion was performed during the operation. The positive margins of the pathological examination were 1 case and the local closed-cell lymph node metastasis 1 case. The average postoperative urinary catheterization time was 9.6 days and the average hospitalization time was 15.4 days. The average follow-up time was 12.1 months. There were 2 cases of biochemical recurrence and 3 cases of urinary incontinence. Conclusions Laparoscopic radical prostatectomy is safe and feasible, with less trauma and rapid postoperative recovery.