Ito H, Yamaguchi K, Kotake T, Suzuki F, Miura N
Department of Urology, Teikyo University School of Medicine, Ichihara Hospital, Japan.
Int Urol Nephrol. 1992;24(3):283-90. doi: 10.1007/BF02549537.
A modified method of retropubic radical prostatectomy was devised. The root of the penis was compressed and the bilateral internal iliac arteries were clamped before the dissection of the prostate. The urethra was divided at the junction of the prostate and bladder so that the bladder stump thus created has the size of the tip of the middle finger. Vesicourethral anastomosis was done by Vest procedure. By this method 24 patients were operated. All patients except one were alive without recurrence after the mean follow-up of 32 months. This method seems to be good enough to recommend.
设计了一种改良的耻骨后根治性前列腺切除术方法。在前列腺解剖前，压迫阴茎根部并钳夹双侧髂内动脉。在前列腺与膀胱交界处切断尿道，使形成的膀胱残端有中指指尖大小。采用Vest法进行膀胱尿道吻合。用该方法对24例患者进行了手术。除1例患者外，所有患者在平均随访32个月后均存活且无复发。该方法似乎足够好，可以推荐。
