Gettman Matthew T, Blute Michael L
Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Curr Urol Rep. 2006 May;7(3):193-9. doi: 10.1007/s11934-006-0021-1.
Radical prostatectomy has maintained paramount importance in prostate cancer management. Emerging alternative treatments are laparoscopic and robotic prostatectomy. Technical modifications have improved radical prostatectomy outcomes, yet surgery remains difficult to perform regardless of approach. Contemporary series have shown comparable outcomes with operative time, transfusion rates, analgesia, and length of catheterization. Open radical prostatectomy provides excellent long-term oncologic control, but sparse short-term data are available for laparoscopic and robotic prostatectomy. Favorable outcomes also have been reported for urinary control and sexual function, regardless of approach. Additional prospective data collection is needed to evaluate if minimally invasive approaches provide distinct advantages over open surgery.
根治性前列腺切除术在前列腺癌治疗中一直占据着至关重要的地位。新兴的替代治疗方法是腹腔镜前列腺切除术和机器人辅助前列腺切除术。技术改进提高了根治性前列腺切除术的效果，但无论采用何种方法，手术操作仍然具有挑战性。当代研究系列显示，在手术时间、输血率、镇痛和导尿管留置时间方面，各种方法的效果相当。开放性根治性前列腺切除术能提供出色的长期肿瘤学控制，但关于腹腔镜和机器人辅助前列腺切除术的短期数据较少。无论采用何种方法，在尿控和性功能方面也都有良好的结果报道。需要更多前瞻性数据收集来评估微创方法是否比开放手术具有明显优势。
