Clinical effect of laparoscopic partial bladder resection in the treatment of bladder diverticulum
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摘要:
目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。 方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例，4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术，1例行经尿道膀胱颈切开术+腹腔镜下膀胱部分切除术。 结果5例患者手术均成功，平均手术时间140±23.7 min，平均出血量65±15.2 mL，无需输血，术中、术后未出现严重并发症，术后2~3 d拔除引流管，平均住院时间7.4±1.1 d。 结论对于膀胱出口梗阻合并膀胱憩室病例，行经尿道电切术+腹腔镜下膀胱部分切除术，具有创伤小、出血少、恢复快、并发症少、住院时间短等优点，是微创治疗膀胱憩室安全、可行的手术方法。 Abstract:ObjectiveTo assess the clinical efficacy of laparoscopic partial bladder resection in the treatment of bladder diverticulum and to explore the application value of it. MethodsRetrospective analysis was applied to analysis cases who were given laparoscopic partial bladder resection from January 2014 to October 2015. Four cases were given transurethral enucleativeresection of the prostate and laparoscopic partial bladder resection, 1 case was underwent transurethral bladder neck incision surgery and laparoscopic partial bladder resection. ResultsThe surgeries were successful in 5 cases. The average operation time was 140±23.7 min, with average bleeding volume of 65±15.2 mL. There was no need of blood transfusion. There were no serious complications after the operation. The drainage tube was removed 3 d later after operation. The average hospitalization time was 7.4±1.1 d. ConclusionFor bladder outlet obstruction (BOO) cases complicated with bladder diverticulum, transurethral enucleativeresection of the prostate (TUERP) and laparoscopic partial bladder resection showed the advantages of less trauma, less bleeding, quick recovery, fewer complications, less hospitalization. microinvasive treatment of bladder diverticulum is a safe and feasible operation method. -
Key words:
- laparoscopy /
- TUERP /
- bladder diverticulum
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