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目的:在腹腔镜下前列腺癌根治术中,比较两种尿道膀胱吻合办法的用时情况。方法:对2011年9月~2012年3月收治的21例前列腺癌行腹腔镜下经腹前列腺癌根治术。尿道膀胱吻合操作中,13例行间断缝合,8例行连续缝合。间断缝合使用腹腔推结器分别在6、3、9、12点打结。结果:21例前列腺癌根治术均成功,无一例转开放手术。间断缝合组吻合用时12~30 min,平均19.9 min,而连续缝合组用时21~57 min,平均34 min。结论:间断缝合方法可缩短尿道膀胱吻合的时间。
OBJECTIVE: To compare the duration of urinary bladder anastomosis in laparoscopic radical prostatectomy. Methods: 21 cases of prostate cancer admitted from September 2011 to March 2012 underwent laparoscopic radical prostatectomy. In urethral anastomosis operation, 13 cases were interrupted suture, 8 cases were continuous suture. Intermittent suture using abdominal push knot were 6,3,9,12 knot knot. Results: Twenty-one cases of radical prostatectomy were successful and none of them underwent open surgery. Intermittent suture anastomosis with 12 ~ 30 min, an average of 19.9 min, while the continuous suture group with 21 ~ 57 min, an average of 34 min. Conclusion: Intermittent suture method can shorten the urethral anastomosis time.