在局部晚期和复发性骨盆恶性瘤的部分尿道切除术后, laparoscopic尿道重建 (附视频)
Hongjie Yang1,2,3,4, Peishi Jiang3, Zhichun Zhang1,2,3,4
1Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, People's Republic of China.
Annals of surgical oncology
|July 30, 2024
概括
在需要部分尿路切除的晚期盆腔恶性瘤中, laparoscopic尿道重建是可行的. 这种方法在9名患者中实现了R0边际和低泄漏率,证明了其对复杂的尿路重建的潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 晚期的骨盆恶性瘤经常涉及泌尿道,需要进行广泛的切除.
- 部分尿切除术后尿路重建具有挑战性,特别是在腹腔镜中.
- 没有标准化的策略存在于尿路重建后,广泛的瘤切除与部分尿路切除术.
研究的目的:
- 评估在患有晚期骨盆恶性瘤的患者中,在细分泌尿切除术后进行腹腔镜尿路重建的可行性和结果.
- 在这个患者队列中评估并发症率,瘤边缘和术后功能.
主要方法:
- 九名患者的手术视频和临床记录的回顾性审查.
- 患者在晚期或复发性骨盆恶性瘤 (2020年2月至2024年2月) 的阻断切除过程中接受了细分泌尿切除术.
- 采用了各种腹腔镜重建技术,包括尿道尿道解,尿道尿道管系统,Boari片和阴道间接.
主要成果:
- 所有九名患者都实现了R0切除边缘,而没有转换为腹腔切除术.
- 没有观察到术后尿道泄漏.
- 随访时间中位数为14个月;三名患者出现了复发,一人死于转移性疾病.
结论:
- 腹腔镜尿道重建是晚期骨盆恶性瘤中细分尿道切除术的可行选择.
- 这项研究表明,通过腹腔镜技术,低位漏率和良好的术后功能.
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