Department of Urology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Department of Radiology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Int Braz J Urol. 2020 May-Jun;46(3):425-433. doi: 10.1590/S1677-5538.IBJU.2019.0413.
Minimally invasive techniques are used increasingly by virtue of advancements in technology. Surgery for prostate cancer, which has high morbidity, is performed with an increasing momentum based on the successful oncological and functional outcomes as well as cosmetic aspects.
62 patients underwent robot-assisted perineal radical prostatectomy (R-PRP) surgery at our clinic between November 2016 and August 2017. Six pelvimetric dimensions were defined and measured by performing multiparametric magnetic resonance imaging (mpMRI) prior to operation in all patients. In light of these data, we aimed to investigate the effect of pelvimetric measurements on surgery duration and surgical margin positivity.
By using this technique in pelvic area, we observed that measurements only representing surgical site and excluding other pelvic organs had a significant effect on surgery duration, and pelvic dimensions had no significant effect on surgical margin positivity.
In R-PRP technique, peroperative findings and oncological outcomes can vary depending on several variable factors, but although usually not taken into account, pelvimetric measurements can also affect these outcomes. However, there is a need for randomised controlled trials to be conducted with more patients.
随着技术的进步，微创技术的应用越来越多。由于在肿瘤学和功能结果以及美容方面取得了成功，具有高发病率的前列腺癌的手术也在基于这些方面的成功基础上越来越多地进行。
2016 年 11 月至 2017 年 8 月期间，我们诊所对 62 例患者进行了机器人辅助经会阴根治性前列腺切除术（R-PRP）手术。所有患者在手术前均进行多参数磁共振成像（mpMRI），定义并测量了 6 个骨盆尺寸。根据这些数据，我们旨在研究骨盆测量对手术时间和手术边缘阳性率的影响。
通过在骨盆区域使用这种技术，我们观察到仅代表手术部位且不包括其他骨盆器官的测量值对手术时间有显著影响，而骨盆尺寸对手术边缘阳性率没有显著影响。
在 R-PRP 技术中，手术部位的发现和肿瘤学结果可能因几个变量因素而异，但尽管通常不被考虑在内，骨盆测量值也可能影响这些结果。然而，需要进行更多患者的随机对照试验。
