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经磁共振成像测量前列腺人体测量学指标与腹膜外腹腔镜根治性前列腺切除术疗效的相关性。

The association between the outcomes of extraperitoneal laparoscopic radical prostatectomy and the anthropometric measurements of the prostate by magnetic resonance imaging.

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Int Braz J Urol. 2018 Mar-Apr;44(2):238-247. doi: 10.1590/S1677-5538.IBJU.2017.0260.

Abstract

INTRODUCTION AND OBJECTIVE

To determine the association between the anthropometric measurements by magnetic resonance imaging (MRI) and perioperative outcomes of extraperitoneal laparoscopic radical prostatectomy (ELRP).

MATERIALS AND METHODS

From 2008 to June 2016, 86 patients underwent preoperative MRI prior to undergoing ELRP for localized prostate cancer. We analyzed the associations between anthropometric measurements of MRI and the perioperative outcomes of patients who underwent ELRP.

RESULTS

The mean patient age was 69.61±8.30 years. The medians of operating time and blood loss were 2.30 hours and 725.30ml, respectively. The total post-surgical complication rate was 1.16%. The median hospital stay was 6.50 days. The pathological stages for T2 and T3 were 45.74% and 34.04%, respectively. The rate as positive surgical margins (PSMs) was 18.09% (pT2 and pT3; 6.38% and 9.57%). The angles between pubic bone and prostate gland (angle 1&2), were significantly associated with operative time and hospital stay, respectively (p<0.05). There was no correlation between the pelvimetry and positive surgical margin.

CONCLUSIONS

The findings of the present study suggest that anthropometric measurements of the MRI are related to operative difficulties in ELRP. This study confirmed that MRI planning is the key to preventing complications in ELRP.

摘要

介绍与目的

通过磁共振成像(MRI)测量人体测量学指标与经腹膜外腹腔镜根治性前列腺切除术(ELRP)围手术期结果之间的相关性。

材料与方法

2008 年至 2016 年 6 月,86 例局部前列腺癌患者在接受 ELRP 治疗前接受了术前 MRI。我们分析了 MRI 人体测量学指标与接受 ELRP 治疗的患者围手术期结果之间的相关性。

结果

患者的平均年龄为 69.61±8.30 岁。手术时间和失血量中位数分别为 2.30 小时和 725.30ml。总的术后并发症发生率为 1.16%。中位住院时间为 6.50 天。T2 和 T3 期的病理分期分别为 45.74%和 34.04%。阳性切缘率(PSMs)为 18.09%(pT2 和 pT3;6.38%和 9.57%)。耻骨与前列腺之间的角度(角 1&2)与手术时间和住院时间分别呈显著相关(p<0.05)。骨盆测量与阳性切缘无相关性。

结论

本研究表明 MRI 人体测量学指标与 ELRP 手术难度有关。本研究证实 MRI 规划是预防 ELRP 并发症的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/6050549/e948bacbd9eb/1677-5538-ibju-44-02-0238-gf01.jpg

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