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目的:探讨7~10cm小切口在前列腺癌根治术中的应用效果。方法:回顾分析2013年5月~2014年2月收治17例局限性前列腺癌根治术患者资料。17例局限性前列腺癌均行小切口前列腺癌根治术,年龄50~71岁,中位64岁;tPSA值6.8~207.4μg/L,中位数21.8μg/L,手术切口7~10cm。结果:手术均顺利完成,手术时间90~180min,中位110min,失血50~400ml,中位失血量100ml。2例局部晚期患者病理切缘阳性,1例尿道吻合口漏。随访3~10个月,未见生化复发。结论:小切口前列腺癌根治术成本低,创伤小,易于学习,效果可靠,可以普遍开展。
Objective: To study the effect of small incision of 7 ~ 10cm in radical mastectomy of prostate cancer. Methods: The data of 17 patients with localized prostate cancer underwent radical resection from May 2013 to February 2014 were retrospectively analyzed. Seventeen patients with localized prostate cancer underwent radical prostatectomy with a small incision, aged 50-71 years, with a median age of 64 years. The tPSA value ranged from 6.8 to 207.4 μg / L with a median of 21.8 μg / L and a surgical incision of 7 to 10 cm. Results: The operation was successfully completed. The operation time was 90 ~ 180min, the median was 110min, the blood loss was 50 ~ 400ml and the median blood loss was 100ml. Two cases of locally advanced pathological positive margins, urethral anastomotic leak in 1 case. Follow-up 3 to 10 months, no biochemical recurrence. Conclusions: Small incision radical prostatectomy has the advantages of low cost, small trauma, easy learning and reliable effect, which can be widely used.