Initial experience with 161 extraperitoneal laparoscopic radical cystectomy procedures: Comparison with transabdominal laparoscopic radical cystectomy.
Initial experience with 161 extraperitoneal laparoscopic radical cystectomy procedures: Comparison with transabdominal laparoscopic radical cystectomy.
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DOI：
10.1111/iju.15076
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发表时间：
2023-02
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传统的腹腔镜根治性膀胱切除术（TLRC）因术后并发症多而备受关注。相比之下，腹膜外腹腔镜根治性膀胱切除术（ELRC）的发病率似乎较低。本研究旨在比较ELRC和TLRC治疗膀胱癌（BCa）的疗效。回顾性分析2018年4月至2021年10月行腹腔镜根治性膀胱癌患者的临床资料，分为ELRC组和TLRC组。收集275例患者的术后随访资料，比较两组患者的术后并发症发生率及其他围手术期结局。所有患者均成功完成手术，未转为开放手术。两组患者手术时间无显著差异（67.32 ± 23.53 vs 72.17 ± 25.72 min，p = 0.106），术中失血量（178.06 ± 110.4 vs. 174.56 ± 127.40 ml，p = 0.413），或两组之间的淋巴结清扫数量（15.1 ± 5.7 vs. 14.5 ± 5.1，p = 0.380）。ELRC组的住院时间（11.6 ± 3.8 vs 14.7 ± 5.6 d，p < 0.001）、术后恢复进食时间（2.3 ± 0.9 vs 3.0 ± 1.3 d，p < 0.001）和肠梗阻发生率（p < 0.001）均显著低于TLRC组。ELRC是一种安全的手术，可以减少术后并发症的发生，缩短术后住院时间，缩短患者的恢复时间，因此，应予以推广。
There is substantial concern about traditional transperitoneal laparoscopic radical cystectomy (TLRC) due to multiple postoperative complications. In contrast, extraperitoneal laparoscopic radical cystectomy (ELRC) appears to cause a lower rate of morbidity. The present study aimed to compare the efficacy of ELRC and TLRC for bladder cancer (BCa). The clinical data of patients undergoing laparoscopic radical cystectomy for BCa from April 2018 to October 2021 were retrospectively analyzed, as ELRC and TLRC groups. The postoperative follow‐up data of 275 patients were collected and the incidence of postoperative complications and other perioperative outcomes were compared between the two groups. Surgery was successfully completed in all patients without conversion to open surgery. There was no significant difference in the duration of cystectomy surgery (67.32 ± 23.53 vs 72.17 ± 25.72 min, p = 0.106), intraoperative blood loss (178.06 ± 110.4 vs. 174.56 ± 127.40 ml, p = 0.413), or the number of lymph node dissection (15.1 ± 5.7 vs. 14.5 ± 5.1, p = 0.380) between the two groups. The length of stay (11.6 ± 3.8 vs 14.7 ± 5.6 d, p < 0.001), time to resume food intake after surgery (2.3 ± 0.9 vs 3.0 ± 1.3 d, p < 0.001), and the incidence of ileus (p < 0.001) in the ELRC group were significantly lower than in the TLRC group. ELRC is a safe procedure that can reduce the incidence of postoperative complications, shorten postoperative hospital stay, reduce the duration of recovery of patients, and, therefore, should be promoted.
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影响因子：
3.4
作者：
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