摘要
我国膀胱癌发病率近年来呈增高的趋势,根治性膀胱切除术为治疗肌层浸润性膀胱癌的主要方法。外科手术技术不断革新与升级,机器人辅助腹腔镜根治性膀胱切除术(RARC)远期疗效与开放手术及腹腔镜手术相当,其安全性、可行性已得到广泛认可。原位新膀胱术式虽为最理想尿流改道方式,但由于手术条件的局限性,不可控尿流改道术仍是目前主要选择。盆腔淋巴结清扫先后顺序及扩大盆腔淋巴清扫术,目前仍无法形成统一的标准。保留性神经的根治性膀胱切除术,能良好保留病人术后性功能及尿控,已被广泛推广应用。
Incidence of bladder cancer in China has increased dramatically in recent years,the trend of the radical cystectomy for muscle layer of the main method of invasive bladder cancer treatment,the surgical technology under the condition of constant innovation and upgrading,robot assisted laparoscopic radical cystectomy(RARC)forward curative effect with open surgery and laparoscopic surgery,its security,feasibility has been widely recognized.Although orthotopic bladder surgery is the most ideal method of urinary diversion,uncontrollable urinary diversion is still the main choice due to the limitations of surgical conditions.The sequence of pelvic lymph dissection and expanded pelvic lymph dissection are still unable to form a unified standard.Radical cystectomy with nerve preservation,which can well preserve postoperative sexual function and urinary control,has been widely used.
作者
宋明泽
SONG Mingze(Department of Urology,Western China Hospital of Sichuan University,Chengdu 610000,China)
出处
《临床外科杂志》
2019年第11期1005-1007,共3页
Journal of Clinical Surgery
