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1159例腹腔镜根治性前列腺癌切除术的疗效评估显示文摘目的探讨腹腔镜根治性前列腺切除术的疗效.方法回顾性分析2000年3月至2003年8月159例腹腔镜根治性前列腺切除术患者资料.平均年龄58岁(42~74岁),同时行双侧盆腔淋巴结清扫术57例(35.9%).术前159例患者前列腺活检均确诊为前列腺癌.Gleason肿瘤分级:3+3:129例(81.1%),3+4:23例(14.5%),4+3:4例(2.5%),4+4:3例(1.9%).TNM肿瘤分期:T1c126例(79.3%),T2a 33例(20.7%).结果 159例患者平均手术时间298 min(165~660min).术中估计失血量平均293 ml(50~2500 ml),发生严重并发症15例(9.4%),其中中转开放手术6例(3.8%),无死亡病例.术后病理确诊为前列腺癌158例,1例诊断为良性前列腺增生伴急性前列腺炎.标本切缘阳性34例(21.5%).术后1年53例患者获得随访,术前31例(58.5%)有阴茎勃起功能的患者根据国际阴茎勃起功能指数(ⅡEF-5)评分分组进行术后变化评估.术后ⅡEF-5评分显著下降,各评分组间的差异无统计学意义.36例(67.9%)可通过使用Viagra等药物进行性生活,6例(11.3%)有尿失禁.结论腹腔镜根治性前列腺切除术是一种相对安全、微创、并发症低、术后康复快,同时又能达到肿瘤治疗效果的手术方法.但长期疗效尚待进一步观察.李爱华 Demetrius H.Bagley Edouard Trabulsi Deborah T.Glassman Stephen Strup Mark Chang Dolores Shupp-Byrne Leonard G.Gomella 2005中华泌尿外科杂志2005,26,12:4
2手助式腹腔镜肾切除术围手术期并发症的处理显示文摘目的探讨手助式腹腔镜肾切除术围手术期并发症的处理方法。方法回顾性分析1998-2004年377例手助式腹腔镜肾切除术患者资料,其中根治性肾切除术206例,单纯性肾切除术91例,根治性肾、输尿管切除术49例,肾部分切除术31例,对围手术期并发症类型、发生率及处理方法进行统计分析。结果377例患者术中估计失血量平均315.6 ml(30~7000 m1)。术中发生脾脏损伤、难以控制的出血、肠道损伤、肾蒂血管损伤、胰腺损伤等并发症14例(3.7%)。中转开放手术13例(3.4%)。术后发生肠梗阻、肺炎、切口疝、继发性出血、冠心病发作、血管栓塞、低钠血症等并发症48例(12.7%)。死亡2例(0.5%)。有腹腔或腹膜后手术史者围手术期并发症和术式中转率高于无手术史者。结论手助式腹腔镜。肾切除术仍会出现一些严重的围手术期并发症。局部粘连、肿瘤体积过大会增加并发症的发生。术中一旦出现严重出血、器官损伤等难以控制的并发症时应及时中转开放手术。充分的术前准备、正确熟练的手术操作可降低并发症的发生率。李爱华 Leonard G.Gomella Ramsay Kuo Dolores Shupp-Byrne Mark Chang Stephen Strup Demetrias H.Bagley 2006中华泌尿外科杂志2006,27,10:2
3No evidence of disease after radiofrequency ablation in delayed nephrectomy specimens显示文摘Park S Strup SE Saboorian H 2006Urology2006,68,5:1
4Increased blastocyst formation of cloned porcine embryos produced with donor cells pre-treated with Xenopus egg extract and/or digitonin显示文摘Ying Liu Olga ?strup Juan Li Gábor Vajta Lin Lin Peter M. Kragh Stig Purup Poul Hyttel Henrik Callesen 2011Zygote2011,,1:1
5Detection of prostate carcinoma with contrast-enhanced sonography using intermittent harmonic imaging显示文摘Halpern EJ Ramey JR Strup SE 2005Cancer2005,104,11:1
6Using gray-scale and color and power Doppler sonography to detect prostate cancer 显示文摘Halpern E J Strup SE 2000A JR Am J Roentgenol2000,174,:1
7Histologic effects of the Gyrus resection system versus standard electrocautery resection in the treatment of bladder tumors显示文摘Moy ML Burke M Strup SE 2001J Endourol2001,15,1:1
8Hand-assisted laparoscopic nephroureterectomy: analysis of distal ureterectomy technique, margin status, and surgical outcomes 显示文摘Brown JA Strup SE Chenven E 2005Urology2005,66,6:1
9Influence of water storage and thermal cycling on the fracture strength of all-porce- lain, resin--bonded fixed partial dentures 显示文摘Kern M Fechting T Strup JR 1994J Prosthet Dent1994,71,:1
10Using gray-scale and color and power Doppler sonography to detect prostatic cancer显示文摘Halpern Strup SE 2000AiR Am J Ro- entgenol2000,174,3:1
11Hand - assisted laparoscopic nephroureterectomy: Analysis of distal ureterectomy technique, margin status, and surgical outcomes 显示文摘Brown JA Strup SE Chenven E 2005Urology2005,66,:1
12Laparoscopic radical prostatectomy: a multi-institutional study of conversion to open surgery 显示文摘Bhayani SB Pavlovich CP Strup SE 2004Urology2004,63,1:1
13No evidence of disease after radiofrequency ablation in delayed nephrectomy specimens显示文摘Park S Strup SE Saboorain H 2006Urology2006,68,5:1
14Prostate: high-frequency Doppler US imaging for cancer detection 显示文摘Halpem EJ Frauscher F Strup SE 2002Radiology2002,225,1:1
15Escitalopram: a unique mechanism of action 显示文摘CLAUS B R STRUP CONNIE SANCHEZ 2004Int J Psych Clin Pract2004,,:1
16Detection of prostate carcinoma with contrast-enhanced sonography using intermittent harmonic imaging显示文摘Halpern EJ Ramey JR Strup SE 2005Cancer2005,104,:1
17Validation of risk strati- fication schemes for predicting stroke and thromboem-bolism in patients with atrial fibrillation:nationwide co- hort study显示文摘Olesen J B Lip G Y Hansen M L Hansen P R Tol- strup J S Lindhardsen J 2011BMJ2011,342,:1
18Comparison and clinical evaluation of hand-assist devices for hand-assis- ted laparoscopy显示文摘McGinnis DE Gomella LG Strup SE 2001Tech Urol2001,7,1:1
19Association of Tumor Size, Location, R.E.N.A.L., PADUA and Centrality Index Score with Perioperative Outcomes and Postoperative Renal Function显示文摘Jason R. Bylund Dustin Gayheart Tyler Fleming Ramakrishna Venkatesh David M. Preston Stephen E. Strup Paul L. Crispen 2012The Journal of Urology2012,,:1
20Perioperative morbidity of laparoscopic radical prostatectomy compared with open radical retropubic prostatectomy显示文摘James A. Brown Christopher Garlitz Leonard G. Gomella David E. McGinnis Stuart M. Diamond Stephen E. Strup 2004Urologic Oncology: Seminars and Original Investigations2004,,2:1
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