Rodriguez Esequiel, Melamud Ori, Ahlering Thomas E
University of California Irvine Medical Center, Assistant Professor, Department of Urology, Orange, CA, USA.
Expert Rev Anticancer Ther. 2008 Mar;8(3):475-9. doi: 10.1586/14737140.8.3.475.
Open and laparoscopic radical prostatectomy is a safe and effective treatment for organ-confined prostate cancer with excellent cancer control and quality of life outcomes. We present current nerve-sparing techniques used in open, laparoscopic and robot-assisted prostatectomy to maximize postoperative potency. We review the literature and describe important anatomical landmarks and technical aspects that differentiate between approaches. Nerve trauma is inherent to the surgery and cannot be completely avoided. These techniques serve to minimize injury without compromising oncologic outcomes. In combination with postoperative pharmacological and mechanical recuperative approaches, nerve-sparing surgery has made an impact in postprostatectomy quality of life.
开放性和腹腔镜根治性前列腺切除术是治疗局限性前列腺癌的一种安全有效的方法，具有出色的癌症控制效果和生活质量结局。我们介绍了目前在开放性、腹腔镜和机器人辅助前列腺切除术中使用的保留神经技术，以最大限度地提高术后性功能。我们回顾了文献，并描述了不同手术方法之间重要的解剖标志和技术要点。神经损伤是手术固有的，无法完全避免。这些技术旨在将损伤降至最低，同时不影响肿瘤学结局。结合术后药物和机械恢复方法，保留神经手术对前列腺切除术后的生活质量产生了影响。
