Ronk L L, Kavitz J M
Wilford Hall Medical Center, Lackland Air Force Base, Tex.
AORN J. 1994 Sep;60(3):438-46. doi: 10.1016/s0001-2092(07)62777-x.
Improvements of surgical techniques for radical prostatectomy, including nerve-sparing methods, have made surgery the preferred treatment for prostate-confined tumors. Perineal prostatectomy is tolerated well by patients, especially the elderly and those who are at high risk. Blood loss during perineal prostatectomy versus retropubic prostatectomy is minimal. Additionally, the perineal approach provides the surgeon with better exposure for anastomosing the bladder neck to the urethra. The bowel does not have to be manipulated in the perineal approach, which minimizes paralytic ileus. Perioperative nurses must become familiar with the technique, positioning, and equipment necessary to care for patients undergoing radical perineal prostatectomy.
根治性前列腺切除术的手术技术改进，包括保留神经的方法，使手术成为局限性前列腺肿瘤的首选治疗方法。会阴前列腺切除术患者耐受性良好，尤其是老年人和高危患者。与耻骨后前列腺切除术相比，会阴前列腺切除术的失血量极少。此外，会阴入路为外科医生提供了更好的视野，便于将膀胱颈与尿道吻合。会阴入路无需对肠道进行操作，这将麻痹性肠梗阻的风险降至最低。围手术期护士必须熟悉护理接受根治性会阴前列腺切除术患者所需的技术、体位和设备。
