Petrov S B, Rakul S A, Galimov R D
Vestn Khir Im I I Grek. 2010;169(1):117-22.
Retropubic radical prostatectomy (RPPE) is the most aggressive method of treatment in patients with prostate cancer (PC), but maximally radical. The observations of men after RPPE have shown that 10.13% (40 patients) died: half of them (5.06%)--due to progress of PC, the rest because of coexisting diseases. The total, corrected and relapse-free 5 and 10 years survival was 90%, 95%, 65% and 84%, 91%, 55%. The quality of life of the men after RPPE was investigated at long-term periods of followup. RPPE is an effective method of treatment of PC patients. The most frequent complication of this intervention was erectile dysfunction and urinary incontinence which made the quality of life of such patients considerably worse. Postoperative dynamic follow-up of such patients is necessary for early detection of relapses and determination of indications for medicamentous and/or surgical treatments of the complications.
耻骨后根治性前列腺切除术(RPPE)是前列腺癌(PC)患者最积极的治疗方法,但也是最彻底的。对接受RPPE治疗后的男性观察显示,10.13%(40例患者)死亡:其中一半(5.06%)死于PC进展,其余死于并存疾病。5年和10年的总生存率、校正生存率和无复发生存率分别为90%、95%、65%和84%、91%、55%。在长期随访中对接受RPPE治疗后的男性生活质量进行了调查。RPPE是治疗PC患者的有效方法。这种干预最常见的并发症是勃起功能障碍和尿失禁,这使这些患者的生活质量大大下降。对这些患者进行术后动态随访对于早期发现复发以及确定并发症的药物和/或手术治疗指征是必要的。