<h3>67岁男性患者，因‘‘间歇性肉眼血尿l年加重1天’’入住兄弟医院。l月余前曾因排尿困难、血尿行膀胱镜检查过程中止血困难，遂行开放姑息性膀胱切开止血，术后病理提示：膀胱尿路上皮癌。于今日在兄弟医院行腹腔镜下根治性膀胱全切术+MAINZ II膀胱术<br></h3> <h3>术前CT所见</h3> <h3>术前CT所见</h3> <h3>术前CT所见</h3> <h3>术中探查所见</h3> <h3>右侧盆腔淋巴结清扫术后所见</h3> <h3>左侧盆腔淋巴结清扫术后所见，左侧输尿管扩张<br></h3> <h3>左、右侧盆腔淋巴结清扫术后所见</h3> <h3>膀胱、双侧精囊及前列腺切除后所见</h3> <h3>切除膀胱标本取出体腔</h3> <h3>离断双侧输尿管下段</h3> <h3>离断双侧输尿管下段</h3> <h3>乙状结肠和直肠折叠重建MAINZ II膀胱</h3> <h3>乙状结肠和直肠折叠重建MAINZ II膀胱</h3> <h3>剖开所折叠的贮尿囊</h3> <h3>双侧输尿管隧道式植入贮尿囊，留置双J管</h3> <h3>重建后的MAINZ II膀胱</h3> <h3>切除后的膀胱、前列腺及精囊标本；左、右侧髂血管周围淋巴结；双侧血管钳所提为输尿管末端<br></h3> <h3>No best，only better</h3><div>没有最好，只有更好🌹🌹🌹</div>