预先结扎髂内动脉分支在腹腔镜根治性膀胱切除术中的临床研究（附26例报告）

徐克龙; 李炯明; 刘建和; 陈戬; 姜永明; 张劲松; 闫永吉; 王光

预先结扎髂内动脉分支在腹腔镜根治性膀胱切除术中的临床研究（附26例报告）

- 昆明医科大学第二附属医院微创泌尿外科(昆明, 650101)

详细信息

通讯作者: 李炯明,E-mail:jiongmingli@yahoo.com.cn

中图分类号: R737.14

收稿日期: 2012-12-19

Clinical research of bilateral internal iliac artery pretreatment in laparoscopic radical cystectomy (Report of 26 cases)

- Department of Minimally Invasive Urology, Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, China

More Information

Corresponding author: LI Jiongming, E-mail: jiongmingli@yahoo.com.cn

Received Date: 19 December 2012

摘要

摘要: 目的：探讨预先结扎髂内动脉分支在减少腹腔镜根治性膀胱切除术中出血的临床可行性。方法：2008年12月~2012年11月采用预先结扎双侧髂内动脉分支的方法对26例T₂~T₃期膀胱癌患者进行腹腔镜根治性膀胱切除术。结果：26例手术均获成功，根治手术时间160~210 min，平均（187±20） min。术中出血60~350 ml，平均（192±55） ml。随访2~12个月，所有患者均未出现臀部疼痛、臀肌萎缩以及间歇性跛行等臀肌缺血并发症。结论：腹腔镜根治性膀胱切除术中预先结扎壁支远端的髂内动脉干或分支，可有效减少术中出血，使手术的操作更精准，不会引起臀肌缺血的相关并发症。
- 腹腔镜 /
- 膀胱癌根治术 /
- 双侧髂内动脉 /
- 结扎术
Abstract: Objective: To investigate the feasibility of bilateral internal ilica artery ligation before the laparoscopic radical cystectomy to control intraoperatie bleeding. Method: During December 2008 to November 2012, 26 T₂-T₃ invasive bladder cancer patients received the bilateral internal iliac artery ligation before the laparoscopic radical cystectomy. Result: Twenty-six cases were successfully operated with the laparoscopic radical cystectomy, the laparoscopic operative time160-210 (mean 187±20) min. the blood loss 60-350 (192±55) ml. Based on the 2-12 months follow-up results, all patients did not appear buttocks pain, gluteal muscle atrophy and intermittent claudication etc.Conclusion: Bilateral internal ilica artery ligation before the laparoscopic radical cystectomy can reduce blood loss, make surgery more accurate. And ligation of the internal ilica artery does not lead to complications related to gluteal muscles ischemia.
- laparoscopic /
- radical cystectomy /
- internal ilica artery /
- ligation

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参考文献(7)

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