前列腺癌根治术并发直肠损伤的处理经验探讨

王小刚; 崔笠; 徐仁芳; 曹赟杰; 薛冬; 陆皓; 邢兆宇; 弓鹏峰; 殷帅

doi:10.13201/j.issn.1001-1420.2022.08.013

前列腺癌根治术并发直肠损伤的处理经验探讨

- 常州市第一人民医院泌尿外科(江苏常州，213000)
基金项目:
常州市卫生健康委青年人才科技项目(No：QN202010，QN202110)

详细信息

通讯作者: 崔笠，E-mail：cuili2351@czfph.com

中图分类号: R737.25

收稿日期: 2022-02-13

刊出日期: 2022-08-06

Management of rectal injury after radical prostatectomy

- Department of Urology, The First People's Hospital of Changzhou, Changzhou, Jiangsu, 213000, China

More Information

Corresponding author: CUI Li, E-mail: cuili2351@czfph.com

Received Date: 13 February 2022

Publish Date: 06 August 2022

摘要

摘要: 回顾性分析2012年1月—2021年1月常州市第一人民医院行开放或腹腔镜前列腺癌根治术(RP)并发直肠损伤5例患者的临床资料。术中即刻发现的4例直肠损伤患者，均一期缝合修补成功；1例术后迟发性直肠损伤患者，形成直肠膀胱瘘，保守治疗失败，术后3个月行结肠造口术，再行瘘修复及关闭造口后治愈。术中即刻发现的直肠损伤单纯行一期肠修补术成功率高。
- 前列腺癌切除术 /
- 前列腺癌 /
- 直肠损伤 /
- 直肠瘘
Abstract: The clinical data of 5 patients with rectal injury following open or laparoscopic radical prostatectomy in Changzhou First People's Hospital from January 2012 to January 2021 were analyzed retrospectively. Four patients with rectal injury found immediately during operation were successfully repaired by primary suture. One patient with postoperative delayed rectal injury developed rectovesical fistula, and conservative treatment failed. Colostomy was performed 3 months after operation, followed by fistula repair and closure of colostomy. The treatment of primary suture has high success rate for rectal injury found immediately during prostatectomy.
- prostatectomy /
- prostate cancer /
- rectal injury /
- rectal fistula

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