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人胎盘来源同种异体移植物对前列腺癌根治术后功能和肿瘤学结局的影响:一项文献综述

Impact of human placental derivative allografts on functional and oncological outcomes after radical prostatectomy: a literature review.

作者信息

Noël Jonathan, Ahmed Subuhee, Mascarenhas Anya, Stirt Daniel, Moschovas Marcio, Patel Ela, Reddy Sunil, Bhat Seetharam, Rogers Travis, Patel Vipul

机构信息

AdventHealth Global Robotics Institute, 380 Celebration Pl, Celebration, FL, USA.

KCU College of Medicine, 1750 Independence Ave, Kansas City, MO, USA.

出版信息

J Robot Surg. 2023 Apr;17(2):265-273. doi: 10.1007/s11701-022-01433-6. Epub 2022 Jun 18.

Abstract

Post radical prostatectomy (RP) erectile dysfunction and incontinence impacts quality of life for patients. In an objective to hasten the recovery of these functional outcomes, human placental derived allografts laid on neurovascular bundles (NVB) have been investigated. These grafts include amniotic membranes (AM) chorionic membranes (CM) or umbilical cord (UC) allografts. A literature review performed using the MeSH terms "AMNION" OR "CHORION" OR "AMNIOTIC MEMBRANE" OR "UMBILICAL CORD" AND "PROSTATE CANCER" from no specified start date, to April 2022. 163 articles were retrieved, with 149 articles excluded. 14 articles were eligible and analysed. 5 articles were included in this review for an analysis on comparative outcomes. The average return to potency was statistically significant in the intervention groups. Positive surgical margin (PSM) rates showed a higher rate in the control groups. BCR was observed at a lower rate in the interventional group. This review reveals a benefit from human placental allograft's ability to hasten post RP functional recovery, without impacting oncological control.

摘要

根治性前列腺切除术后(RP)勃起功能障碍和尿失禁会影响患者的生活质量。为了加速这些功能结局的恢复,人们对放置在神经血管束(NVB)上的人胎盘同种异体移植物进行了研究。这些移植物包括羊膜(AM)、绒毛膜(CM)或脐带(UC)同种异体移植物。使用医学主题词“羊膜”或“绒毛膜”或“羊膜囊”或“脐带”以及“前列腺癌”进行文献综述,检索时间从无特定起始日期至2022年4月。共检索到163篇文章,排除149篇。14篇文章符合条件并进行分析。本综述纳入5篇文章进行比较结局分析。干预组平均恢复性功能有统计学意义。切缘阳性(PSM)率在对照组较高。干预组生化复发(BCR)发生率较低。本综述表明,人胎盘同种异体移植物能够加速RP术后功能恢复,且不影响肿瘤控制。

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