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前列腺电切术后的前列腺癌根治术 被引量:15

Radical prostatectomy for incidental prostate cancer in TURP
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摘要 目的 总结经尿道前列腺电切术后确诊的偶发性前列腺癌根治手术经验。 方法  1 1例经尿道前列腺电切术后确诊为偶发性前列腺癌患者行耻骨后前列腺癌根治术 ,平均年龄 6 1岁 ,TNM分期均为T1a~b。 结果  1 1例平均随访 4 .5年 ,除 1例失访外均无瘤存活。 2例发生尿道狭窄 ,1例真性尿失禁 ,7例术前性功能正常并行保留性神经手术的患者 4例术后恢复正常性功能。 结论 经尿道前列腺电切术后的偶发癌行根治术疗效满意。前期电切术在一定程度上增加了根治术的难度及并发症发生率。根治术宜在电切术后 1个月内进行。 Objective To present the clinical outcomes of 11 patients who underwent radical prostatectomy for incidental prostate cancer in transurethral resection. Methods From July 1995 to January 2001, we performed radical retropubic prostatectomy on 11 patients with incidental prostate carcinoma by TURP (clinical stage T 1a or T 1b ). Results There was no death or serious morbidity during the operation. Median operative blood loss was 650 ml. During the follow up (range 2~7.5 years,mean 4.5 years),all patients remained disease free,except for one who lost follow up.After nerve sparing potency was preserved in 4 of 7 sex active men,most returning patients got recovered by 1 year.Anastomotic stricture and complete incontinence occurred in 2 and 1 patient,respectively. Conclusions Radical prostatectomy may be performed safely with an acceptable morbidity rate following transurethral resection for benign prostatic hyperplasia.Prior transurethral resection will make the operation difficult during the radical prostatectomy.Furthermore,it is possibly associated with more long term complications,such as anastomotic stricture and impotence.The radical surgery should not be deferred more than 1 month after TURP.
出处 《中华泌尿外科杂志》 CAS CSCD 北大核心 2004年第8期540-542,共3页 Chinese Journal of Urology
关键词 前列腺电切术 前列腺癌 手术治疗 肿瘤 Prostatic neoplasms Carcinoma Prostatectomy
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