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根治性会阴前列腺切除术：对于肥胖患者而言，它是比腹腔镜根治性前列腺切除术更优的治疗方法吗？

Radical perineal prostatectomy: a more optimal treatment approach than laparoscopic radical prostatectomy in obese patients?

作者信息

Leung Albert C, Melman Arnold

出版信息

Rev Urol. 2005 Winter;7(1):48-52.

PMID:16985806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1477559/
Abstract

In comparison with laparoscopic radical prostatectomy (LRP), the perineal approach to radical prostatectomy offers specific technical advantages related to obesity and its unique surgical challenges. Radical perineal prostatectomy (RPP) reduces operative time and its associated risk of complication, which may be more pronounced in obese men. It allows for low blood loss, low postoperative use of narcotics for pain, short hospital stays, and requires only 1 small perineal incision. With a proven history of success, RPP presents obese men with an advantageous surgical option.

摘要

与腹腔镜根治性前列腺切除术（LRP）相比，经会阴途径的根治性前列腺切除术具有与肥胖相关的特定技术优势及其独特的手术挑战。经会阴根治性前列腺切除术（RPP）可缩短手术时间及其相关的并发症风险，这在肥胖男性中可能更为明显。它出血量少，术后使用麻醉剂止痛少，住院时间短，仅需一个小的会阴切口。凭借已被证实的成功历史，RPP为肥胖男性提供了一个有利的手术选择。

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Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.1999 - 2002年美国儿童、青少年及成年人中超重和肥胖的患病率
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Laparoscopic radical prostatectomy - results of 200 consecutive cases in a Canadian medical institution.腹腔镜根治性前列腺切除术——加拿大一家医疗机构200例连续病例的结果
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