开放与微创前列腺癌根治术的并发症比较

Comparison of complications resulted from open and minimally invasive radical prostatectomies for prostate cancer

比较开放耻骨后前列腺癌根治术与微创前列腺癌根治术(包括腹腔镜及机器人辅助腹腔镜)的并发症,为手术方式的选择提供参考。查阅有关前列腺癌根治术的文献,比较开放及微创手术所引起的并发症,包括尿失禁、阳萎、术中大出血、阳性手术切缘等,分析这些并发症的可能原因,比较不同手术所致并发症的发生率。多数报道开放与微创手术所引起的尿失禁、阳萎、阳性手术切缘的发生率比较差异无显著性,但开放手术中出血较微创手术多;并发症的发生多与术者经验相关,仅从手术并发症判断开放或微创那一种手术方式更好为时尚早,有待更多观察。

To evaluate the complications resulted from radical retropubic prostatectomy and minimally invasive surgeries including laparoscopic radical prostatectomy and robot-assisted laparoscopic radical prostatectomy for prostate cancer, in order to decide which operation is better with regard to their complications. Review the publications of the radical prostatectomies of open and minimally invasive surgeries including laparoscopic and robot-assisted laparoscopic operations, and evaluate their related complications such as incontinence, impotence, positive surgical margin and hemorrhage, also analyze the causes which lead to the complications. The differences of incidence of major complications including incontinence, impotence and positive surgical margins between open and minimally invasive surgeries are not statistical significance, but mostly hemorrhage is more common in open operation than in minimally invasive surgeries, and the complications are associated with surgeon＇s experience. It is too early to decide which operation is better between open and minimally invasive surgeries according to their complications.