Radical cystoprostatectomy: An extraperitoneal retrograde approach
Radical cystoprostatectomy: An extraperitoneal retrograde approach
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DOI：
10.1016/s0022-5347(01)61946-3
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发表时间：
1999-02-01
影响因子：
6.6
通讯作者：
Rajyaguru, KB
中科院分区：
文献类型：
--
作者：
Kulkarni, JN;Gulla, RI;Rajyaguru, KB
目的：我们描述了一种新的技术方法，为膀胱cancer.Materials和方法的手术管理：浸润性膀胱癌患者进行根治性膀胱切除术使用技术上不同的方法比传统的方法。这种改良的重要特征包括脐下小切口，完全腹膜外剥离以保持肠袢远离手术区域，在手术早期而不是在手术结束时进行尿道剥离以保留横纹尿道括约肌和神经血管束，完全逆行分离直肠膀胱平面以增加安全性，完成后再腹膜化以隔离泌尿系统疾病结果：50多例早期膀胱癌患者在2年内接受了这项手术。结论：根治性逆行腹膜外膀胱切除术是基于更精细的解剖知识。它需要精确的解剖，使其固有的上级的传统方法。
Purpose: We describe a new technical approach for the surgical management of bladder cancer.Materials and Methods: Patients with invasive bladder cancer underwent radical cystoprostatectomy using a technically different approach than the conventional method. The important features of this modification include a small infraumbilical incision, completely extraperitoneal dissection to maintain the bowel loops away from the operating field, urethral dissection performed earlier in the operation rather than at the end to preserve the striated urethral sphincter with the neurovascular bundles, completely retrograde dissection of the rectovesical plane for increased safety and reperitonealization done at completion to isolate the urinary anastomoses from the bowel anastomosis.Results: More than 50 consecutive patients with early bladder cancer underwent this operation during a 2-year period. The technique was safe and satisfactory.Conclusions: Radical retrograde extraperitoneal cystoprostatectomy is based on a finer knowledge of anatomy. It requires accurate dissection, making it inherently superior to the conventional method.