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。
Objective： To investigate the management of incidental prostate cancer after TURP by laparoscopic radical prosta- tectomy （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 laparo- scopic skills, laparoscopic radical prostatectomy may achieve satisfactory iesults in the treatment of incidental prostate cancer after TURP.
出处
《中华男科学杂志》
CAS
CSCD
2012年第12期1075-1077,共3页
National Journal of Andrology
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
incidental prostate cancer
benign prostate hyperplasia
transurethral resection of the prostate
prostate cancer
laparoscopic radical prostatectomy
