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目的:比较经腹膜外腹腔镜手术与传统开放手术根治性治疗前列腺癌的临床效果。方法:选择前列腺癌47例,随机分为观察组23例和对照组24例。观察组采用经腹膜外腹腔镜手术,对照组采用开放手术进行前列腺癌根治性治疗。比较两种术式的手术时间、术中出血量、盆腔引流管保留时间、术后胃肠功能恢复时间、住院天数等指标。结果:两组的手术时间和盆腔引流管保留时间差异不显著(P>0.05);观察组较对照组术中出血少、胃肠功能恢复快、住院天数少(P<0.05)。结论:采用经腹膜外腹腔镜手术根治性治疗前列腺癌早期效果较好。
Objective: To compare the clinical effects of radical retroperitoneal laparoscopic surgery and traditional open surgery in the treatment of prostate cancer. Methods: 47 cases of prostate cancer were randomly divided into observation group (23 cases) and control group (24 cases). The observation group was treated with extraperitoneal laparoscopic surgery, while the control group was treated with open surgery for radical prostatectomy. The operation time, intraoperative blood loss, pelvic drainage tube retention time, postoperative gastrointestinal function recovery time, hospitalization days and other indexes were compared. Results: There was no significant difference between the two groups in the operation time and pelvic drainage tube retention time (P> 0.05). The observation group had less bleeding during operation, faster gastrointestinal function recovery and less hospitalization days (P <0.05). Conclusion: The effect of radical retroperitoneal laparoscopic radical prostatectomy is better in early stage.