Igel T C, Barrett D M, Rife C C
Department of Urology, Mayo Clinic, Rochester, Minnesota.
Urology. 1988 Jun;31(6):474-7. doi: 10.1016/0090-4295(88)90210-5.
Radical retropubic prostatectomy has become a mainstay surgical procedure in the treatment of cancer of the prostate. There has been controversy, however, regarding the most appropriate method of vesicourethral reconstruction. We examined the records of 692 consecutive patients who underwent a radical retropubic prostatectomy from 1978 through 1984 at the Mayo Clinic. Of these, 416 patients underwent a modified Vest procedure, and in 276 patients a direct simple anastomosis was fashioned. In comparing these two methods, our review showed no substantial difference in complications, including the rate of urinary incontinence.
耻骨后根治性前列腺切除术已成为治疗前列腺癌的主要外科手术。然而，关于膀胱尿道重建的最合适方法一直存在争议。我们查阅了1978年至1984年在梅奥诊所连续接受耻骨后根治性前列腺切除术的692例患者的记录。其中，416例患者接受了改良的Vest手术，276例患者进行了直接简单吻合术。在比较这两种方法时，我们的回顾显示在并发症方面，包括尿失禁发生率，没有实质性差异。
