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初级保健医生和老年病医生需要了解的关于机器人前列腺切除术和局限性前列腺癌的知识。

What PCPs and geriatricians need to know about robotic prostatectomy and organ-confined prostate cancer.

作者信息

Carlucci John R, Nabizada-Pace Fatima, Samadi David B

机构信息

Division of Robotics and Minimally Invasive Surgery, Mount Sinai School of Medicine, New York City, NY, USA.

出版信息

Geriatrics. 2009 Feb;64(2):8-14.

Abstract

Prostate cancer is the most common visceral neoplasm diagnosed in the United States and has gained significant public awareness over the past 20 years as a result of the serum prostate-specific antigen (PSA) screening test. Though there is potentially wide variability in presentation, most patients are diagnosed with organ-confined disease. Treatments for localized prostate cancer include surgery, radiation, and active surveillance. One of the newer surgical modalities is robotic-assisted laparoscopic prostatectomy, which has shown promise in improving cancer control and reducing the morbidity commonly associated with open radical prostatectomy. This article will discuss screening and treatment options for localized prostate cancer, with special focus on robotic prostatectomy and its advantages.

摘要

前列腺癌是美国诊断出的最常见的内脏肿瘤,在过去20年中,由于血清前列腺特异性抗原(PSA)筛查测试,它已获得了公众的广泛关注。尽管临床表现可能存在很大差异,但大多数患者被诊断为器官局限性疾病。局限性前列腺癌的治疗方法包括手术、放疗和主动监测。较新的手术方式之一是机器人辅助腹腔镜前列腺切除术,它在改善癌症控制和降低与开放性根治性前列腺切除术相关的发病率方面显示出了前景。本文将讨论局限性前列腺癌的筛查和治疗选择,特别关注机器人前列腺切除术及其优势。

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