Graefen Markus, Walz Jochen, Huland Hartwig
Department of Urology, University Medical Center Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
Eur Urol. 2006 Jan;49(1):38-48. doi: 10.1016/j.eururo.2005.10.008. Epub 2005 Nov 18.
Retropubic radical prostatectomy is the most commonly used therapeutic option for the treatment of clinically localized prostate cancer. An ongoing stage migration toward organ-confined cancers allows performance of a nerve-sparing procedure in a growing number of patients. Key elements for achieving convincing functional results are a sphincter-preserving ligation of the distal part of the Santorini plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of the operative technique, which is demonstrated in the attached DVD. Furthermore, indication, oncologic outcome, and functional results addressing postoperative urinary continence and potency are discussed.
耻骨后根治性前列腺切除术是治疗临床局限性前列腺癌最常用的治疗方法。随着向器官局限性癌症的分期不断进展，越来越多的患者能够接受保留神经的手术。实现令人信服的功能结果的关键要素是对圣托里尼丛远端进行保留括约肌的结扎以及对神经血管束进行精细解剖。本文详细描述了手术技术，相关内容在随附的DVD中展示。此外，还讨论了手术指征、肿瘤学结果以及与术后尿失禁和性功能相关的功能结果。
