Campbell S C, Church J M, Fazio V W, Klein E A, Pontes J E
Department of Urology, Cleveland Clinic, Ohio.
Surg Gynecol Obstet. 1993 Jun;176(6):605-8.
A novel technique of combined radical retropubic prostatectomy and restorative proctosigmoidectomy is described, and indications and expected complications are discussed. It is offered as an alternative to total pelvic exenteration for patients with carcinoma of the rectum exhibiting isolated extension to the prostate gland or seminal vesicles. This procedure obviates the need for urinary and fecal diversion and provides excellent exposure for optimal rectal dissection. Thus, it offers the opportunity for improved functional results without compromising the principles important for local tumor control.
本文描述了一种耻骨后前列腺癌根治术与直肠乙状结肠修复术相结合的新技术，并讨论了其适应症和预期并发症。对于仅侵犯前列腺或精囊的直肠癌患者，该技术可作为全盆腔脏器切除术的替代方案。此手术无需进行尿路改道和粪便转流，为直肠的最佳解剖提供了良好的视野。因此，它在不影响局部肿瘤控制重要原则的前提下，提供了改善功能结果的机会。
