前列腺切除术中对Santorini丛的处理应个体化。

Wilamowski Jacek, Wojtarowicz Mateusz, Adamowicz Jan, Golab Adam, Pozniak Michal, Leminski Artur, Kuffel Blazej, Slojewski Marcin, Drewa Tomasz

Department of Urology and Andrology, Collegium Medicum, Nicolaus Copernicus University, 85-089 Bydgoszcz, Poland.

Department of Urology and Urological Oncology, Pomeranian Medical University, 71-899 Szczecin, Poland.

J Pers Med. 2022 May 10;12(5):769. doi: 10.3390/jpm12050769.

The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini's plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers were compared. In one center, patients underwent DVC ligation in all cases, whereas in the second center, this step was omitted. Subsequently, the histological and functional results were compared. Results showed that DVC management has an impact on blood loss and the duration of the surgery. In addition, omitting DVC ligation is demonstrated to reduce positive margin rate within the apex if the cancer was localized in this region. The continence and erectile function were similar in the 12-month follow up.

本研究的目的是比较腹腔镜前列腺切除术在处理背静脉复合体（DVC）/圣托里尼丛方面的结果，因为这在泌尿外科领域仍是一个悬而未决的问题。为此，对来自两个大型中心的457例前列腺切除术后患者进行了比较。在一个中心，所有病例均对患者进行了DVC结扎，而在第二个中心，省略了这一步骤。随后，比较了组织学和功能结果。结果表明，DVC处理对失血和手术时间有影响。此外，若癌症局限于该区域，省略DVC结扎可降低尖部切缘阳性率。在12个月的随访中，控尿和勃起功能相似。