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目的:探讨耻骨后根治性前列腺癌切除术手术方法和技巧。方法:回顾性分析我院自2006年1月～2008年5月施行的前列腺癌根治术31例。结果:全部病例术后恢复顺利,3周后拔除导尿管。1例出现压力性尿失禁;3例术后6周出现排尿困难,2例经尿道扩张后缓解,1例因不愿行尿道扩张而自愿要求膀胱造瘘;6例远端或两端切缘阳性予以辅助放疗和内分泌治疗,随访3～27个月无生化复发。结论:耻骨后根治性前列腺癌切除术是治疗早期前列腺癌的有效方法,是腹腔镜前列腺癌根治术的有力保证。
Objective: To investigate the surgical methods and techniques of resectable radical prostatectomy. Methods: A retrospective analysis of our hospital since January 2006 ~ May 2008 implementation of radical prostatectomy in 31 cases. Results: All patients recovered well after operation, and the catheter was removed after 3 weeks. 1 case had stress urinary incontinence; 3 cases had dysuria 6 weeks after operation, 2 cases remitted by urethral dilatation, 1 case had bladder volostomy because of reluctance to urethral dilatation; 6 cases distal or both end margins Positive to adjuvant radiotherapy and endocrine therapy, followed up for 3 to 27 months without biochemical recurrence. CONCLUSION: Resection of radical prostatectomy is an effective method for the treatment of early stage prostate cancer and is a powerful guarantee for the radical operation of laparoscopic radical prostatectomy.