Objective To search for method for treatment and prevention of urethrovesical anastomotic leakage ( PUAL) following laparoscopic radical prostatectomy ( LRP). 目的探讨腹腔镜前列腺癌根治术后吻合口尿漏的防治方法。
To assess the effect and compare the relative merits of two urethrovesical anastomosis methods with circular running suture and hemicircumferential running suture performed in pelvic trainer. 目的评价腹腔镜模拟训练箱内分别采用连续法、双半圆法行膀胱-尿道吻合术的成效及各自的优缺点。
METHODS: ① Cystourethrography: Patient's posterior urethrovesical angle was determined and considered as normal if it was < 100 °, and abnormal if> 100 °. 方法:①膀胱尿道造影:测定患者膀胱尿道后角:<100°判定为正常,>100°判定为异常。
Minor complications ( 7%) included minor urethrovesical leak, bladder neck stenosis, and urinary tract infection. 轻微并发症包括轻度漏尿、膀胱颈部狭窄、尿路感染。
Major complications ( 4%) included urethrovesical leak requiring re-operation, post-operative cerebrovascular accident, and transient ureteric obstruction. 严重并发症包括需要再手术的膀胱尿道吻合口漏、脑血管意外、暂时性输尿管梗阻。