前列腺癌包膜外侵犯对根治性前列腺切除术中性神经保留决策的影响

Influence of extraprostatic prediction extension on nerve-sparing strategy in radical prostatectomy

保留性神经(NS)的根治性前列腺切除术(RP)能够促进术后性功能的恢复,但可能增加术后切缘阳性率与生化复发的风险,尤其是对于存在前列腺癌包膜外侵犯(EPE)的患者。预测EPE是根治性前列腺切除术制定手术方式的关键。文章就术前预测EPE的手段做一综述,以期为临床RP提供依据。

Nerve-sparing radical prostatectomy improves the recovery of erectile function after surgery.However,nerve sparing technique might increase the risk of positive surgical margin and biochemical recurrence,especially in patients with extraprostatic extension(EPE).Therefore,it is of great importance to predict EPE to select patients for nerve-sparing radical prostatectomy.This review will focus on the preoperative assessment of EPE and strategy of nerve-sparing radical prostatectomy,in order to provide reference for clinical practice.