Clinical comparison of laparoscopic and open surgery for radical cystectomy
10.3969/j.issn.1007-1989.2016.02.010
- VernacularTitle: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
- Author:
Xiaodong WANG
;
Yuanlin WANG
;
Hua SHI
;
Shuxiong XU
;
Kai LI
;
Guangheng LUO
;
Xiushu YANG
;
Jianxin HU
- Keywords:
bladder neoplasms;
laparoscopy;
radical cystectomy;
bricker ileal conduit diversion
- From:
China Journal of Endoscopy
2016;22(2):42-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluated the clinical value of laparoscopic techniques in radical cystectomy surgery for the treatment of bladder cancer. Methods Clinical data of 49 patients underwent radical cystectomy with Bricker ileal conduit diversion were retrospectively analyzed from October 2009 to August 2014, which laparoscopic radical cystectomy with Bricker ileal conduit 20 cases (Group A), open radical cystectomy with Bricker ileal conduit 29 cas-es (Group B). The blood loss during operation, operating time, gastrointestinal function recovery after operation, hos-pital stay after operation and complications were observed between the two groups. Results The blood loss during operation was significantly lower in Group A (416.66 ± 232.73) ml than in Group B (964.16 ± 445.73) ml ( <0.05), and hospital stay after operation was significantly lower in Group A (14.93 ± 2.72) days than in Group B (19.50 ± 3.16) days ( < 0.05), complication after operation was significantly lower in Group A than in Group B ( < 0.05). The operating time and gastrointestinal function recovery has no significantly difference between the two groups. Conclusions Laparoscopic radical cystectomy have advantages of minimal invasion, less blood loss, rapid recovery and less postoperative complications. It is a safe and effective surgical method. Long term effect need evaluated by follow up.
