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 楼主| 发表于 2016-7-7 13:48:01 | 显示全部楼层
20. 利弊
经腹膜方式的好处如下:
- 预先存在的操作空间,
- 放置套管容易。

外腹膜方式的好处如下:
- 不会受到腹膜内器官的影响;
- 肠道损伤风险最小;
- 若有之前的手术造成的腹膜内沾黏时也容易进行手术。

经腹膜方式的缺点如下:
-受到腹膜内器官的影响;
- 肠道损伤风险;
- 腹膜内沾黏时会有困难。

外腹膜方式的缺点如下:
-需要创造操作空间,
-淋巴囊肿的风险较大。
 楼主| 发表于 2016-7-7 13:48:25 | 显示全部楼层
21. Reference
Cadeddu JA, Elashry OM, Snyder O, Schulam P, Moore RG, Loughlin KR et al. Effect of laparoscopic
pelvic lymph node dissection on the natural history of D1 (T1-3, N1-3, M0) prostate cancer. Urology
1997;50:391-4.
Fergany A, Kupelian PA, Levin HS, Zippe CD, Reddy C, Klein EA. No difference in biochemical failure
rates with or without pelvic lymph node dissection during radical prostatectomy in low-risk patients.
Urology 2000;56:92-5.
Freid RM, Siegel D, Smith AD, Weiss GH. Lymphoceles after laparoscopic pelvic node dissection.
Urology 1998;51:131-4.
Kava BR, Dalbagni G, Conlon KC, Russo P. Results of laparoscopic pelvic lymphadenectomy in
patients at high risk for nodal metastases from prostate cancer. Ann Surg Oncol 1998;5:173-80.
Lund GO, Winfield HN, Donovan JF, See WA, Loening SA, Williams RD. Laparoscopic pelvic lymph
node dissection following definitive radiotherapy for carcinoma of the prostate. J Urol 1997;157:548-
51.
Schuessler WW, Vancaillie TG, Reich H, Griffith DP. Transperitoneal endosurgical lymphadenectomy
in patients with localized prostate cancer. J Urol 1991;145:988-91.
Stone NN, Stock RG, Unger P. Laparoscopic pelvic lymph node dissection for prostate cancer:
comparison of the extended and modified techniques. J Urol 1997;158:1891-4.
Weingartner K, Ramaswamy A, Bittinger A, Gerharz EW, Voge D, Riedmiller H. Anatomical basis for
pelvic lymphadenectomy in prostate cancer: results of an autopsy study and implications for the clinic.
J Urol 1996;156:1969-71.
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