Schultze-Seemann W
Urologische Abteilung, Chirurgische Klinik der Universität Freiburg/Br.
Fortschr Med. 1993 Jul 20;111(20-21):343-6.
The incidence of carcinoma of the prostate is increasing throughout the entire western world. The general rise in life expectancy is associated with the fact that many of these carcinomas of old age are now becoming clinically relevant. For curative treatment of prostate carcinoma, three procedures are available (radical prostatectomy, brachytherapy, radiotherapy). In terms of local freedom from tumor and long-term survival, radical prostatectomy is superior to the other modalities. Since improvements in our knowledge of the relevant anatomy have considerably reduced surgical morbidity and mortality, the procedure represents standard treatment in patients with a statistical life expectancy of at least 10 years and locally limited carcinoma of the prostate.
在整个西方世界,前列腺癌的发病率都在上升。预期寿命的普遍提高与这样一个事实有关,即许多老年前列腺癌目前正变得具有临床相关性。对于前列腺癌的根治性治疗,有三种方法可供选择(根治性前列腺切除术、近距离放射疗法、放射疗法)。就局部无瘤和长期生存而言,根治性前列腺切除术优于其他方法。由于我们对相关解剖学知识的改进已大大降低了手术发病率和死亡率,该手术是预期统计寿命至少为10年且前列腺癌局部局限的患者的标准治疗方法。