CAJ | 학술논문

目的探讨TURP术后发现的前列腺偶发癌行耻骨后前列腺癌根治术的心得体会.方法回顾性分析2003年7月至2012年7月宁波市第二医院收治的20例前列腺偶发癌患者资料,平均年龄(65±10)岁, TURP 术后(2.9±1.5)个月行耻骨后前列腺癌根治术.结果20例手术均成功完成.平均手术时间(190.6±38.5)min,术中平均出血(450.0±152.5)ml.无死亡,无直肠损伤.1例切缘阳性.2例报告为BPH.平均随访(60.2±33.9)月,最长108个月,1例出现顽固性尿失禁,其余控尿功能好.无远处淋巴结、骨及其他器官转移.随访PSA未见生化复发.结论 TURP手术史增加了前列腺癌根治手术难度,但耻骨后前列腺癌根治术仍可作为前列腺偶发癌的标准而有效的外科治疗方法.
목적탐토TURP술후발현적전렬선우발암행치골후전렬선암근치술적심득체회.방법회고성분석2003년7월지2012년7월저파시제이의원수치적20례전렬선우발암환자자료,평균년령(65±10)세, TURP 술후(2.9±1.5)개월행치골후전렬선암근치술.결과20례수술균성공완성.평균수술시간(190.6±38.5)min,술중평균출혈(450.0±152.5)ml.무사망,무직장손상.1례절연양성.2례보고위BPH.평균수방(60.2±33.9)월,최장108개월,1례출현완고성뇨실금,기여공뇨공능호.무원처림파결、골급기타기관전이.수방PSA미견생화복발.결론 TURP수술사증가료전렬선암근치수술난도,단치골후전렬선암근치술잉가작위전렬선우발암적표준이유효적외과치료방법.
Objective To summarize clinical experience of retropubic prostatectomy (RRP) for incidental prostate cancer(IDPC) after TURP. Methods From July 2003 to July 2012 ,20 patients, whose mean age was 65 years old, with IDPC after TURP were treated by PPR. RRP was done at (2.9±1.5) months after TURP. Results The 20 cases of RRP were performed successfuny, Mean operation time was(190.6±38.5)min, mean blood loss was (450.0±152.5)ml, and the mean follow-up was (60.2±33.9)months, All twenty patients survived, with only 1 case of urinary incontinence and 1 case of positive surgical margin. Conclusions Previous TURP showed a technical challenge for further RRP perforrmance, but RRPs was still a good method for incidental prostate cancer after TURP under work of highly skilled surgeons.