【摘要】 目的探讨腹膜外腹腔镜下前列腺切除术的可行性。方法2006年2月至2009年8月采用腹腔镜下经腹膜外对55例前列腺增生症患者行前列腺切除术,术后病理证实良性前列腺增生。观察手术时间、术中出血量、术后住院天数及手术效果。结果55例手术均获成功,平均手术时间85min(67～128min),术中平均出血量210ml(130～1200ml),有5例需输血、无中转开放手术病例。术后平均住院时间8(6～12)d。随访3～18个月,IPSS由术前(24.1±1.5)分降至术后(9.5±1.4)分,Qmax由术前(7.3±1.8)ml/s提高到术后(17.1±1.5)ml/s。结论腹腔镜下前列腺切除术是安全可行的。更多还原

【Abstract】 Objective To assess the feasibility of extraperitoneal laparoscopic prostatectomy for benign prostatic hypertrophy.Methods From February 2006 to August 2009,55 patients with benign prostatic hypertrophy underwent extraperitoneal laparoscopic prostatectomy.The mean patient age was 71.2 years old(range,56～80 years).The histological analysis of the resected specimens revealed benign prostatic hypertrophy.The operative time,estimated blood loss,postoperative hospital stay and the effect of complete convalescence were recorded.Results The operation was successfully performed in all the 75 patients,The mean operative time was 85 min(range,67～128min).The mean estimated blood loss was 210 ml(range,130～1200 m1),5 cases required blood transfusions.Conversions to open prostatectomy weren’t required.The mean hospital stay was 8d(range,6～12d).During a follow-up of 3～18months,the mean score of IPSS decreased from 24.1±1.5 to 9.5±1.4,and Qmax increased from 7.3±1.8ml/s to 17.1±1.5 ml/s.Conclusion Extraperitoneal laparoscopic prostatectomy for benign prostatic hypertrophy can be performed safely and effectively.更多还原