A Novel Neobladder-Urethral Drag-and-Bond Anastomosis Technique During Laparoscopic Radical Cystectomy for Ileal Orthotopic Neobladder: Surgical Technique and Initial Research.
A Novel Neobladder-Urethral Drag-and-Bond Anastomosis Technique During Laparoscopic Radical Cystectomy for Ileal Orthotopic Neobladder: Surgical Technique and Initial Research.
复制标题
腹腔镜回肠原位新膀胱根治性膀胱切除术中新型新膀胱-尿道拖粘吻合技术：手术技术和初步研究
DOI：
10.2147/cmar.s288673
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发表时间：
2021
影响因子：
3.3
通讯作者：
Zeng T
中科院分区：
文献类型：
--
作者：
Yu Z;Huang J;Deng H;Zeng Z;Deng L;Xu X;Chao H;Zeng T
目的探讨新膀胱-尿道拖结吻合技术在腹腔镜根治性膀胱切除术（LRC）及回肠原位新膀胱（IONB）重建术中的应用。患者和方法这是一项回顾性队列研究，由一名外科医生进行手术。2014年1月至2018年12月，我们确定了43例接受LRC合并IONB重建的男性膀胱癌患者。将患者分为两组，22例行新膀胱-尿道拖结吻合术（NUDA）， 21例行腹腔镜下新膀胱-尿道吻合术（NUAL）。以吻合时间、拔管时间、空隙后残留（PVR）、最大尿流率（Q-max）、漏尿、吻合口狭窄情况评价两组吻合简便性及手术效果。结果两组肿瘤特征相似。NUDA组与NUAL组新膀胱-尿道吻合时间差异有统计学意义（14.6±0.4 vs 70±2.5 min， P<0.0001），其他指标差异无统计学意义。结论在LRC和IONB重建中，新膀胱-尿道拖结吻合术比腹腔镜下新膀胱-尿道吻合术更容易、更方便，学习曲线更短。
Purpose To explore the application of the neobladder-urethral drag-and-bond anastomosis technique in laparoscopic radical cystectomy (LRC) with ileal orthotopic neobladder (IONB) reconstruction. Patients and Methods This is a retrospective cohort study on a procedure performed by a single surgeon. From January 2014 to December 2018, we identified 43 male bladder cancer patients who received LRC with IONB reconstruction. These patients were divided into two groups, with 22 patients undergoing neobladder-urethral drag-and-bond anastomosis (NUDA) and 21 patients undergoing neobladder-urethral anastomosis under laparoscopy (NUAL). Anastomosis time, catheter removal time, postvoid residual (PVR), maximum urinary flow rate (Q-max), urine leakage and anastomotic stenosis were used to evaluate the simplicity and surgical effect of the two groups. Results Both groups demonstrated similar tumor characteristics. A significant difference in neobladder-urethral anastomosis time was found between the NUDA group and the NUAL group (14.6 ± 0.4 vs 70 ± 2.5 min, P<0.0001), and there was no significant difference in other characteristics. Conclusion The neobladder-urethral drag-and-bond anastomosis technique in LRC and IONB reconstruction, with its shorter learning curve, was easier and more convenient than neobladder-urethral anastomosis under laparoscopy.