前列腺癌根治手术的进展

Advances of radical prostatectomy

前列腺癌根治术是治疗局限性前列腺癌的标准方法。经过20多年的发展,目前此手术的并发症发生率已明显下降,它已成为患者的最佳选择,术后极少影响患者的生活质量。本文结合自己的经验体会对目前开展最为广泛并且为大多数学者所推崇的开放性耻骨后前列腺癌根治术作了详尽的探讨。对腹腔镜下和机器人辅助腹腔镜下前列腺癌根治术作了简要阐述。主要讨论的焦点集中于近年来在手术技巧方面的创新和在降低手术并发症方面的改进。

Radical prostatectomy is currently the most commonly used therapeutic option for treating localized prostate cancer. The procedure has been greatly improved in terms of techniques over the last 20 years, the associated complications and morbidity have been dramatically reduced. Currently the operation has high profile in terms of safety and is the best choice for the treatment of localized disease without compromising quality of life. This review gives a detailed description of the recent technical advances and modifications of the procedure. Current trends in surgical technique in this field are also presented. The individualized procedure could be performed according to the technical modifications to improve the final results. The progress in the standard laparoscopic and robot-assisted laparoscopic radical prostatectomy is also reviewed.