| 经尿道前列腺电切术术后前列腺偶发癌腹腔镜下前列腺癌根治术临床观察 |
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| 引用本文： | 李源,王树声,陈志强,向松涛,古炽明,甘澍,王志超. 经尿道前列腺电切术术后前列腺偶发癌腹腔镜下前列腺癌根治术临床观察[J]. 中华男科学杂志, 2012, 18(12): 1075-1077 |
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| 作者姓名： | 李源 王树声 陈志强 向松涛 古炽明 甘澍 王志超 |
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| 作者单位： | 广东省中医院泌尿外科,广东广州,510120 |
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| 摘 要： | 目的:探讨经尿道前列腺电切(TURP)术后发现前列腺偶发癌行腹腔镜下前列腺癌根治术的经验。方法:2005年4月至2011年12月收治既往行TURP术后发现前列腺癌的患者4例,免疫组化提示p504s阳性,3例在TURP术后3个月行腹腔镜下前列腺癌根治术,1例患者术后1.5月行腹腔镜下前列腺癌根治术。结果:4例手术顺利完成,均为经腹膜外途径。术后病理前列腺腺癌2例,Gleason评分为6～7分,1例报告为高级别上皮瘤变,1例未见癌。术后4例患者控尿功能好。随访1～79个月,4例患者无明显尿失禁,无转移表现,未出现ED现象。结论:在腹腔镜技术熟练的条件下,TURP术后前列腺偶发癌行腹腔镜下前列腺癌根治术疗效满意。
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| 关 键 词： | 前列腺偶发癌 良性前列腺增生 经尿道前列腺电切术 前列腺癌 腹腔镜前列腺癌根治术 |
Laparoscopic radical prostatectomy for incidental prostate cancer after TURP |
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| Abstract: | Objective: To investigate the management of incidental prostate cancer after TURP by laparoscopic radical prostatectomy(LRP).Methods: Between April 2005 and December 2011,we treated 4 cases of incidental prostate cancer with p504s(+) by LRP,1 at 3 mon,while the other 3 at 1.5 mon after TURP.Results: The operations were successfully performed in all the 4 cases,all by extraperitoneal approach.Postoperative pathology showed prostate cancer in 2 of the cases with Gleason scores of 6-7,high-level epithelial neoplasia in 1,and no malignancy in the other.Postoperative observation and 1-79 mon follow-up visit revealed good urinary function but no obvious urinary incontinence,metastasis and erectile dysfunction.Conclusion: With practiced laparoscopic skills,laparoscopic radical prostatectomy may achieve satisfactory results in the treatment of incidental prostate cancer after TURP. |
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| Keywords: | incidental prostate cancer benign prostate hyperplasia transurethra1 resection of the prostate prostate cancer laparoscopic radical prostatectomy |
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