Guillonneau B, Rozet F, Barret E, Cathelineau X, Vallancien G
Department of Urology, Institut Mutualiste Montsouris, Paris, France.
Urol Clin North Am. 2001 Feb;28(1):189-202. doi: 10.1016/s0094-0143(01)80021-5.
Radical prostatectomy can be successfully performed by transperitoneal laparoscopy by a urologic team experienced in laparoscopy and radical prostatectomy. Operative and postoperative morbidity rates are low. Postoperative pain is minimal, allowing reduction of the length of hospital stay. The oncologic results seem satisfactory based on short-term follow-up. The improvement of the quality of intraoperative vision related to magnification of the image allows a more precise procedure. This subjective improvement of the quality of dissection should reduce the usual functional sequelae of conventional radical prostatectomy, such as incontinence and impotence. This finding needs to be confirmed by a larger series of patients with longer follow-up. Laparoscopic radical prostatectomy is now performed routinely and is proposed as a first-line surgical treatment for localized prostatic cancer at the authors' center.
经验丰富的腹腔镜及根治性前列腺切除术的泌尿外科团队可通过经腹腹腔镜成功实施根治性前列腺切除术。手术及术后发病率较低。术后疼痛轻微，可缩短住院时间。基于短期随访，肿瘤学结果似乎令人满意。与图像放大相关的术中视野质量的改善使得手术更加精确。这种解剖质量的主观改善应能减少传统根治性前列腺切除术常见的功能后遗症，如尿失禁和阳痿。这一发现需要通过对更多患者进行更长时间的随访来证实。目前，腹腔镜根治性前列腺切除术已常规开展，在作者所在中心被推荐为局限性前列腺癌的一线手术治疗方法。
