Pereira Ryan, Joshi Andre, Roberts Matthew, Yaxley John, Vela Ian
Department of Urology, Princess Alexandra Hospital, Brisbane, Australia.
Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Transl Androl Urol. 2020 Dec;9(6):3025-3035. doi: 10.21037/tau.2019.09.15.
Radical prostatectomy (RP) is a common treatment choice for localized prostate cancer. While there is increasing utilisation of robotic assisted RP in some centres, open RP (ORP) remains well established and commonly performed in many parts of the world. The goals of modern ORP are to remove the prostate with negative surgical margins, while minimising blood loss and preserving urinary continence and erectile function. We present a technical review of ORP incorporating contemporary techniques for control of the deep venous complex, additional haemostatic measures, nerve-sparing and vesicourethral reconstruction.
根治性前列腺切除术（RP）是局限性前列腺癌的常见治疗选择。虽然在一些中心机器人辅助根治性前列腺切除术的应用越来越多，但开放性根治性前列腺切除术（ORP）在世界许多地区仍然是成熟且常用的手术方式。现代开放性根治性前列腺切除术的目标是切除前列腺且切缘阴性，同时尽量减少失血，并保留尿失禁和勃起功能。我们对开放性根治性前列腺切除术进行技术综述，内容包括控制深部静脉丛的当代技术、额外的止血措施、保留神经和膀胱尿道重建。
