Anselmo G, Felici E, Merlo F, Fandella A, Bassi E, Maccatrozzo L, Checchin P
Département d'Urologie, Hôpital Régional, Treviso, Italie.
J Urol (Paris). 1989;95(7):419-22.
The authors present their experience about the accuracy of staging and the results of radical prostatectomy in prostatic cancer. From january 1978 to september 1988, 47 patients with clinically localized prostatic carcinoma underwent staging pelvic lymphadenectomy, of whom 36 had proven negative pelvic lymph nodes and 1 had only a micrometastasis in the obturatory nodes. We reviewed the surgical results and survival of these 37 patients who underwent radical prostatectomy. The postoperative complications were compared to those reported in Literature: partial incontinence occurred in 3 patients and there were no symptomatic urethral strictrues. 1 patient died in the early postoperative period by DIC. 35 patients are alive, 27 free of disease, with average follow-up of 36 months. The over-all accuracy of staging was 87%. Our experience suggests that radical prostatectomy with staging bilateral pelvic lymphadenectomy can be performed in a safe manner with minimal postoperative morbidity.
作者介绍了他们在前列腺癌分期准确性及根治性前列腺切除术结果方面的经验。1978年1月至1988年9月，47例临床局限性前列腺癌患者接受了分期盆腔淋巴结清扫术，其中36例盆腔淋巴结证实为阴性，1例仅闭孔淋巴结有微转移。我们回顾了这37例行根治性前列腺切除术患者的手术结果及生存情况。将术后并发症与文献报道的情况进行了比较：3例出现部分尿失禁，未出现有症状的尿道狭窄。1例患者术后早期死于弥散性血管内凝血。35例患者存活，27例无疾病，平均随访36个月。分期的总体准确率为87%。我们的经验表明，分期双侧盆腔淋巴结清扫术联合根治性前列腺切除术可以安全进行，术后发病率极低。
