Fowler J E, Clayton M, Sharifi R, Mouli K, Ojeda L, Ray P S
Urology. 1987 Mar;29(3):242-6. doi: 10.1016/0090-4295(87)90061-6.
We analyzed the operative experience and postoperative and late complications of pelvic lymphadenectomy and radical retropubic prostatectomy in 27 consecutive cases in which the modifications of prostatectomy described by Walsh were employed, and compared the results with those of 29 cases performed in the preceding three years when the Campbell technique of prostatectomy was employed. The mean operative time, mean blood loss, and incidences of early postoperative complications and incontinence were less for patients treated with the Walsh technique than with the Campbell technique. After surgery 85 per cent of evaluable patients remained potent with the Walsh technique compared with 16 per cent of patients treated with the Campbell technique. Although other factors besides operative approach may have biased our results, we are persuaded that the innovations of radical retropubic prostatectomy detailed by Walsh constitute important advances in surgical technique, and we now use this procedure in all suitable patients electing treatment by radical prostatectomy for localized prostatic cancer.
我们分析了连续27例采用沃尔什所描述的前列腺切除术改良术式进行盆腔淋巴结清扫术及耻骨后根治性前列腺切除术的手术经验、术后及远期并发症，并将结果与前三年采用坎贝尔前列腺切除术式的29例患者的结果进行了比较。采用沃尔什术式治疗的患者，其平均手术时间、平均失血量、术后早期并发症及尿失禁的发生率均低于采用坎贝尔术式的患者。术后，采用沃尔什术式的可评估患者中85%仍有性功能，而采用坎贝尔术式的患者这一比例为16%。尽管除手术方式外的其他因素可能影响了我们的结果，但我们确信，沃尔什详述的耻骨后根治性前列腺切除术的创新构成了手术技术的重要进展，我们现在对所有选择根治性前列腺切除术治疗局限性前列腺癌的合适患者都采用这一术式。
