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| 儿童症状性前列腺囊腹腔镜切除术与开腹膀胱切除术的比较 Comparison of laparoscopic excision versus open transvesical excision for symptomatic prostatic utricle in children
摘要 PURPOSE: 目的： The aims of this study were to report our clinical experience with laparoscopic excision (LE) and to compare the outcomes of LE versus open transvesical excision (OTE) for the management of prostatic utricle (PU) in children. 本研究的目的是报告我们的临床经验与腹腔镜切除术（LE）和比较腹腔镜切除与开腹膀胱切除术的结果（OTE）对前列腺囊的管理（PU）在儿童。 PATIENTS AND METHODS: 患者和方法： This was a retrospective single-center study of 14 children who underwent OTE or LE for managing symptomatic PU between April 2003 and December 2014. Age, utricle size, operative time, estimated blood loss, duration of hospital stay, indwelling time of the urethral catheter, presence of residual postoperative utricular stump, and complications were compared between the two groups. 这是一个单中心回顾性研究14例接受开放膀胱切除术或腹腔镜切除有症状的前列腺囊在2003年四月和2014年十二月之间。年龄、囊大小、手术时间、出血量、住院时间、对导尿管留置时间、术后残存在残余囊，与并发症发生率两组比较。 RESULTS: 结果： There were no significant differences in age or utricle size between the two groups. Compared to the OTE group, the LE group experienced shorter operative times, lower estimated blood losses, and shorter hospital stays. Indwelling time of the urethral catheter was nearly 8days in the OTE group and 6days in the LE group. All patients had a follow-up visit between 6months and 2years after surgery. Two patients in the OTE group had transient UTI. Postoperative VCUG showed minimal residual utricular stump for 3 patients in the OTE group. However, no patient in either group required further operative therapy. 两组间年龄或囊的大小无显著差异。相比于开放膀胱切除组，腹腔镜切除术组手术时间短，较低的估计失血量、住院时间缩短。该导尿管留置时间在开放经膀胱切除组近8天和腹腔镜切除术组6天。所有患者术后6个月至2年随访。在开腹膀胱切除组的患者有短暂性尿路感染。术后X线排泄性膀胱尿道造影(VCUG)显示微小残留囊残端3例在开腹膀胱切除术组。然而，没有任何一组患者需要进一步的手术治疗。 CONCLUSIONS: 结论： LE is a safe and feasible procedure for symptomatic PU in children. Compared to OTE, LE can provide minimally invasive access for achieving good exposure with good short-term outcomes. 腹腔镜胆囊切除术在儿童是一种安全可行的治疗前列腺囊的程序。相比开放膀胱切除术，腹腔镜切除术可以提供微创的访问，实现良好的暴露与良好的短期结果。 原文： |
