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[从前列腺癌的起源到达芬奇手术时代的历史]

[The history of prostate cancer from the beginning to DaVinci].

作者信息

Hatzinger M, Hubmann R, Moll F, Sohn M

机构信息

Urologische Abteilung, Markuskrankenhaus Frankfurt, Germany.

出版信息

Aktuelle Urol. 2012 Jul;43(4):228-30. doi: 10.1055/s-0032-1324651.

Abstract

For hardly any other organ can the development of medicine and technical advances in the last 150 years be so clearly illustrated as for the prostate. The history of radical prostatectomy was initially characterised by the problems in approaching this relatively difficulty accessible organ. In 1867, Theodor Billroth in Vienna performed the first partial prostatectomy via a perineal access. In 1904, Hugh Hampton Young and William Stewart Halsted at the Johns Hopkins Hospital in Baltimore / USA carried out the first successful extracapsular perineal prostatectomy and opened up a new era. In Germany, Prof. Friedrich Voelcker in Halle in 1924 developed the so-called ischiorectal prostatectomy. But it was left to Terence Millin to publish in 1945 the first series of retropubic prostatectomies. In 1952, the sacroperineal approach according to Thiermann and the sacral prostatectomy according to were introduced. Finally, in 1991 another new era in prostate surgery started with the first laparoscopic prostatectomy. This development peaked in 2011 with the presentation of the laparoscopic DaVinci prostatectomy by Binder. Originally a stepchild of urological surgery that was to be avoided whenever possible due to the fear of serious complications, the prostate has progressed in the course of time to an obscure object of lust. The stepchild has become the favorite child.

摘要

在过去150年里,医学的发展和技术进步在几乎任何其他器官上都不如在前列腺上体现得如此清晰。根治性前列腺切除术的历史最初以接近这个相对难以触及的器官时所遇到的问题为特征。1867年,维也纳的西奥多·比尔罗特经会阴途径进行了首例部分前列腺切除术。1904年,美国巴尔的摩约翰·霍普金斯医院的休·汉普顿·扬和威廉·斯图尔特·霍尔斯特德进行了首例成功的经会阴包膜外前列腺切除术,开创了一个新时代。1924年,德国哈雷的弗里德里希·弗尔克教授发明了所谓的坐骨直肠窝前列腺切除术。但直到1945年,特伦斯·米林才发表了首批耻骨后前列腺切除术的系列报告。1952年,引入了蒂尔曼的骶会阴入路和相应的骶骨前列腺切除术。最后,1991年随着首例腹腔镜前列腺切除术的出现,前列腺手术迎来了又一个新时代。这一发展在2011年达到顶峰,当时宾德展示了腹腔镜达芬奇前列腺切除术。前列腺最初是泌尿外科手术的“继子”,由于担心出现严重并发症,人们尽可能避开它,随着时间的推移,它已发展成为一个令人痴迷的神秘对象。这个“继子”变成了“宠儿”。

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