Clinical effect of laparoscopic radical cystectomy with orthotopic neobladder
10.3760/cma.j.issn.1008-6706.2018.05.027
- VernacularTitle:腹腔镜下根治性膀胱切除乙状结肠原位新膀胱术的疗效观察
- Author:
Zhiguo YANG
1
;
Fachen MIAO
;
Qingqin REN
;
Yong MA
;
Shiqiao HUANG
;
Shangren WANG
;
Bo ZHANG
Author Information
1. 274300,山东省单县中心医院泌尿外科
- Keywords:
Laparoscopy;
Bladder neoplasms;
Radical cyatectomy;
Sigmoid orthotopic neobladder
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(5):647-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical therapeutic effect of sigmoid neobladder after laparoscopic radical cystectomy in the treatment of invasive bladder cancer .Methods 21 patients with invasive bladder cancer accepted sigmoid neobladder after laparoscopic radical cystectomy and pelvic lymphadenectomy .The postoperative complications and clinical therapeutic effect were analyzed .Results All surgeries were completed successfully .The operation time was (245 ±125) min,blood lost was (98 ±45) mL.All the 21 patients were followed up for 3-24 months,mean of 12 months.Both side mild hydronephrosis in 6 cases (28.6%) and unilateral hydronephrosis in 1 case(0.5%).Average bladder reservoir was (548.8 ±221.6)mL,the maximum bladder pressure during the new bladder urine storage period was (2.26 ±0.24) kPa,the maximum bladder pressure during voiding period was (6.18 ±0.29) kPa,volume of residual urine was (87 ±52) mL.The mean maximum uroflow rate was (83.2 ± 5.6)mL/s.The continence of micturition was 90.4% in day-time and 76.1% in night-time.1 case had urethral stricture and got better after the urethral dilatation .Conclusion The sigmoid neobladder after laparoscopic radical cystectomy has more reliable results,without serious postoperative complications and patients with high quality of life after operation.This operation may be applied in clinical practice .
