Chen T F, Eardley I, Doyle P T, Bullock K N
Department of Urology, Addenbrooke's Hospital, Cambridge.
Br J Urol. 1992 Dec;70(6):643-7. doi: 10.1111/j.1464-410x.1992.tb15835.x.
Rectal obstruction caused by carcinoma of the prostate is uncommon. If the disease does not respond to either hormonal treatment or radiotherapy, the only surgical means of relieving the obstruction has been the formation of a colostomy. We present an alternative treatment, since many of these patients are elderly with a short life expectancy and they may have difficulty coping with a stoma. Seven transanal endoscopic resections of the prostate (TARP) have been performed on 5 patients. The procedure is not without complications, but it does offer simple surgical palliation of the rectal obstruction and obviates the need for a colostomy.
前列腺癌导致的直肠梗阻并不常见。如果该疾病对激素治疗或放疗均无反应，那么缓解梗阻的唯一手术方法一直是进行结肠造口术。我们提出一种替代治疗方法，因为这些患者中的许多人年事已高，预期寿命较短，且他们可能难以应对造口。我们已对5例患者进行了7次经肛门内镜前列腺切除术（TARP）。该手术并非没有并发症，但它确实能为直肠梗阻提供简单的手术姑息治疗，并且无需进行结肠造口术。
