Objective:To summarize the experience of retroperitoneal laparoscopic radical nephrectomy.Methods:Total of 160 cases received retroperitoneal laparoscopic radical nephrectomy(RLRN) were retrospectively analyzed for operative time and success ratio.Results:Within 160 cases,128cases were successfully performed RLRN and other 32 cases were transferred to open operation.The successful ratio was 43% and the mean operative time was 276 min in the first 2 years;while it was 63% and 195 min in the middle 2 years;and 96% and 105 min in the last 2 years.Conclusion:RLRN is a safe and reliable way to treat renal cell carcinoma with its minimal insult.The level of RLRN can be improved by practice.

Objective:To improve the treatment of BPH coexisting bladder cancer.Methods:Retrospective analysis was performed in 72 patients with BPH coexisting bladder cancer,prostatectomy and partial cystectomy were performed in 21 cases,TURP and TURBt in 49 cases,radical total cystectomy in 2 cases.Results:BPH and bladder cancer were all cured in 61 cases,bladder cancer were recurred in 9 cases,recurrent rate was 12.5%,BPH were cured in 67 cases,cure rate was 93.1%.Conclusion:BPH coexisting bladder cancer should be treated by one time operation,relecting operation manner mainly depends on conditions of bladder canner

Objective:To analyze the effect of different therapeutic in the treatment of bladder cancer. Methods: The clinical data of 165 cases was analyzed and reviewed in past 6 years, partial cystectomy were 51 cases, TURBt were 93 cases, radical cystectomy were 21 cases. All patients were given local bladder chemotherapy after operation. Results: All patients were followed-up 1~5 years,29 patients were recurrent, recuarrence rate was 17.65%. Conclusion: Choosing the best operative way and pay attention to every detail in the operation could reduce the recurrence rate of the bladder cancer.

1998年1月～2003年12月,我院采用窥视下尿道内切开或加电切术,共治疗尿道狭窄或闭锁59例,除6例中转开放手术外,均获得较满意的治疗效果,现报告如下:

目的探讨治疗高龄及高危前列腺增生的最佳手术方法.方法对62例高龄高危前列腺增生患者联合应用经膀胱前列腺切除术与经尿道前列腺切除术进行治疗.结果60例1次电切均成功;1例因术后出血行二次电凝止血,1例分两次手术.手术操作时间平均42 min,平均失血量90ml,平均切割前列腺组织18 g,未输血,无前列腺切除术综合征发生.无一例发生心、脑、肺、肾等合并症加重.结论联合应用经膀胱前列腺切除术与经尿道前列腺切除术,可以兼容二者长处,尤其适合于高龄高危前列腺增生患者.

目的:总结80岁以上高危高龄前列腺增生患者行经尿道前列腺电切气化治疗的安全性和经验.方法:对80岁以上,合并两个以上重要器官病变的前列腺患者85例实施经尿道前列腺电切气化治疗,并对治疗效果进行分析.结果:85例患者全部临床治愈.按国际前列腺症状评分(I-PSS)由术前平均32.6分减至8.6分(P＜0.01),生活质量评分(QOL)由术前平均5.4分下降至2.1分(P＜0.05),残余尿量从术前70～520ml,减少至术后15～50ml,23例患者最大尿流率(Qmax)从术前5～10ml/s增加至术后12～18ml/s.结论:经尿道前列腺电切气化治疗80岁以上高危高龄患者前列腺增生安全,简便,疗效可靠.

目的:研究、改进、完善耻骨上前列腺开放切除术止血及手术方式.方法:手术中不用缝扎各个出血点,只用关闭前列腺窝内口(内门)及用纱布结压迫尿道外口(外门),使前列腺腔缩小,成为死腔,靠升高的压力止血.结果:60例患者平均手术时间52 min,不造瘘,不输血,平均术后住院时间8.2 d.术后均排尿通畅,无尿失禁及后尿道狭窄病例出现. 结论:"不止血"(或叫"双关门止血法"、"压力止血法")行耻骨上前列腺切除术是一种比较好的开放前列腺切除手术方式,它可使前列腺切除术简单、易行.

目的:总结等离子体双极系统治疗前列腺增生的临床疗效.方法:采用英国佳乐等离子体双极内窥镜系统治疗62例前列腺增生患者,其中重度前列腺增生21例,平均年龄75岁,前列腺平均大小32 g.结果:平均手术时间48 min,平均失血量42 mL,平均切割前列腺组织22 g.全部病例未输血,无TUR综合征出现.术后随访1～6个月,效果良好.结论:等离子体双极系统治疗前列腺增生并发症少,值得推广.

目的:探讨总结无萎缩肾脏肾实质切开取石术的手术和止血方法.方法:在间断不完全性肾蒂阻断下,从结石最近距离肾实质直接切开或距结石较近距离肾实质较薄处切开直达结石取石.结果:34例手术病人,手术取石时间短,平均13.2min,术中、术后出血少,术后患肾功能正常.结论:间断不完全性肾蒂阻断下行肾实质切开取石术是一种简单、实用、创伤较小的无萎缩肾肾实质切开取石手术方式.

自2001年2月至2003年1月,共收治肾囊肿病人32例,均行小切口肾囊肿去顶术,效果良好,报告如下.

Objective To study the diagnosis and treatment of prostate sarcoma. Methods 6 cases with prostate sarcoma were admitted,all the patients were confirmed by pathological studies.3 casese xperienced radical prostatectomy and sigmoidostomy,2 cases underwent radical prostatectomy and cystostomy, 1 case only make biopsy and do not accept other treatment,3 cases received postoperative radiotherapy. Results 5 cases died within one year,follow up was lost in one patient.Conclusion Confirmatory diagnosis depends on rhe pathological studies and survival rate can be improved by timely and proper treatment

Objective To investigate the indications, operative method and effect of TUR for bladder cancer. From October 1984 to Jure 2001, 124 cases of patients with bladder cancer were admitted, am ong 124 patients 93 were treated by TUR; There were 69 cases of TURBt and 24 cases of TVBt+TURBt in 93 patients who accepted TUR method. Results Seventy eight cases had been followed up, 28 had recurred, 18 died. Conclusion TUR is an effective treatment for bladder cancer with advantages as simple, convenient, less lesion, less risk, less blood loss and faster recovery.

Objective To study the efficiacy of transurethral elecuovaperization prostatectomy (TUVP) for BPH. Method From Feb. 1998 TO Feb, 200 patients with benign prostatic hyperpiasia (BFH) had been treated with TUVP. Results A significant improvement of international prostatic symptom score(IPSS) ,quality of life (QOL) and a reduction of residual urine (RU) has been achieved following up 1-24 Months. Conclusion The benefits of TUVP therapy were simple, less blood loss,safe with less complications,effective with more resected prostate tissue,relatively shorter operation time and a quicker recovery.

尿道假道多为医源性,我院自1998年1月～2000年8月,在医疗操作中共发生6例,均作了即刻处理,现报告如下.

目前,从耻骨上切除前列腺仍然是根治前列腺增生症的主要开放手术方式[1,2],止血仍是手术的关键环节.近14年来,我们也先后应用了各种止血方法:如气囊导管法、荷包活结线法、膀胱颈外结扎法、酒精注射法等.经比较,我们认为切除前列腺前,在膀胱腔内突起的前列腺与膀胱内壁间沟环形缝扎止血法较为理想,现报道如下.