Prado Kris, Chin Arnold I
Department of Urology, UCLA, Los Angeles, CA 90095, USA.
Broad Stem Cell Research Center, UCLA, Los Angeles, CA 90095, USA.
Asian J Androl. 2016 Nov-Dec;18(6):898-899. doi: 10.4103/1008-682X.184995.
The introduction of nerve-sparing technique is one of the most significant advances in the surgical treatment of prostate cancer and heralded a shift from a curing cancer at all-cost model to a curing cancer and preserving quality of life model. In a recent article published in in May, Lee . reviewed the concept of vessel-sparing and functional anatomy-based radiotherapy as well as outcomes with respect to erectile dysfunction, bringing to light a conceptual shift in the management of localized prostate cancer with radiotherapy, which parallels the shift in the surgical management of prostate cancer with the introduction of nerve-sparing technique. The hypothesis is that utilization of vessel-sparing and functional anatomy-based radiotherapy may result in a more personalized approach to this modality based on a patient's specific anatomy, therefore improving patient outcomes.
保留神经技术的引入是前列腺癌外科治疗中最重要的进展之一,预示着从不惜一切代价治疗癌症的模式向治愈癌症并保留生活质量模式的转变。在李于5月发表的一篇近期文章中,回顾了保留血管和基于功能解剖的放疗概念以及勃起功能障碍方面的结果,揭示了局部前列腺癌放疗管理中的概念转变,这与随着保留神经技术的引入前列腺癌外科管理的转变相平行。其假设是,采用保留血管和基于功能解剖的放疗可能会基于患者的特定解剖结构对这种治疗方式采取更个性化的方法,从而改善患者的治疗效果。