Stroup Sean P, Kane Christopher J
Division of Urology, University of California, 200 West Arbor Drive 8897, San Diego, CA 92103-8897, USA.
ISRN Urol. 2011;2011:201408. doi: 10.5402/2011/201408. Epub 2011 Sep 25.
Men with high-risk prostate cancer are at significant risk of progressive, symptomatic disease leading to metastases or death from prostate cancer. Surgery-specifically robotic-assisted laparoscopic prostatectomy (RALP)-is increasingly being considered as a key component of a multimodal strategy to treat these patients. Herein, we review key technical considerations of performing RALP with bilateral pelvic lymphadenectomy in men with high-risk disease. Recent literature supporting the increasing role of surgery either alone or in combination with adjuvant therapies to treat men with high-risk prostate cancer is also reviewed.
患有高危前列腺癌的男性面临着疾病进展、出现症状并导致转移或因前列腺癌死亡的重大风险。手术——特别是机器人辅助腹腔镜前列腺切除术(RALP)——越来越被视为治疗这些患者的多模式策略的关键组成部分。在此,我们回顾了对患有高危疾病的男性进行RALP联合双侧盆腔淋巴结清扫术的关键技术要点。同时也回顾了支持手术单独或与辅助治疗联合在治疗高危前列腺癌男性中日益重要作用的近期文献。