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首页 > 医学词汇大全 > Radical Cystectomy
Radical Cystectomy

肾内泌尿

关键词肾内泌尿 手术操作 膀胱癌

词汇介绍

拓展阅读

解析

Radical   英 /ˈrædɪkl/   美 /ˈrædɪkl/

释    义   adj. 激进的;根本的;彻底的

               n. 基础;激进分子;[物化] 原子团;[数] 根数

例    句   Conclusions: Radical resection is the most significant predictor of improved survival in patients with LRRC.结论:根治性切除是提高LRRC患者生存的最重要的预测因素。

 

Cystectomy   英 /sɪs'tektəmɪ/   美 /sɪ'stɛktəmi/

释    义   n. 囊切除术;胆囊切除术

例    句   This article demonstrates the feasibility of performing laparoscopic radical cystectomy and urinary diversion.这篇文章显示了运用腹腔镜根治性膀胱切除术和尿流改道的可能性。

概述

根治性膀胱切除术,又称根治性全膀胱切除术或根治性膀胱全切除术,手术除膀胱全切外,尚需进行盆腔淋巴结清扫术,包括骼总、髂内、髂外及闭孔血管旁的淋巴组织。 适应症 适应症包括T2-T4a、N0-x、M0期膀胱肿瘤,卡介苗(BCG)治疗无效的原位癌,混合型病理类型的膀胱癌。此外,也有学者提出T­1G3肿瘤以及保留膀胱治疗后反复复发的非肌层浸润性膀胱癌等高危患者也可以考虑进行根治性膀胱切除术。 手术范

Long-term Oncological Outcomes from an Early Phase Randomised Controlled Three-arm Trial of Open, Robotic, and Laparoscopic Radical Cystectomy (CORAL)复制标题

开放、机器人和腹腔镜根治性膀胱切除术 (珊瑚) 早期三臂随机对照试验的长期肿瘤学结果

发表时间:2020-01-06

影响因子:17.3

作者: Khan MS

期刊:Eur Urol

A total of 60 patients agreed to participate in the study and were randomised to receive either ORC, LRC, or RARC. All 20 patients who were randomised to ORC underwent the assigned procedure. In the RARC arm, one patient was converted to ORC due to equipment failure. In the LRC group, one patient randomised to LRC was withdrawn from the trial after further review of the histology by the specialist bladder cancer pathologist team panel changed the diagnosis to small cell bladder cancer. Surgery was deemed unsuitable for this disease and the patient eventually underwent chemoradiotherapy. Of the remaining 19 patients in the LRC group, three were converted to RARC because of unavailability of the laparoscopic surgeon and another was converted intraoperatively to ORC due to large tumour size.

译文

共有60名患者同意参与研究,并随机接受ORC、LRC或RARC。所有20名随机进入ORC的患者都接受了指定的手术。在RARC臂中,一名患者由于设备故障被转换为ORC。在LRC组中,一名随机接受LRC治疗的患者在由膀胱癌病理专家小组进一步审查组织学后退出试验,将诊断改为小细胞膀胱癌。手术被认为不适合这种疾病,病人最终接受了放化疗。在LRC组剩下的19例患者中,有3例因腹腔镜手术不可用而转为RARC,另一例因肿瘤体积大而在术中转为ORC。