...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BJU international >Curtain dissection of the lateral prostatic fascia and potency after laparoscopic radical prostatectomy: a veil of mystery.
【24h】

Curtain dissection of the lateral prostatic fascia and potency after laparoscopic radical prostatectomy: a veil of mystery.

机译：腹腔镜前列腺癌根治术后外侧前列腺筋膜的幕帘剥离和效力：一个神秘的面纱。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To assess the effect on potency recovery of incorporating a high incision of the lateral prostatic fascia (LPF) or curtain dissection (CD) into our technique of laparoscopic nerve-sparing radical prostatectomy (LNSRP). PATIENTS AND METHODS: In all, 137 bilateral neurovascular bundle (NVB) preserving LNSRPs were performed, incorporating curtain dissection (CD) of the LPF. Potency was assessed at 1, 3, 6 and 12 months using validated questionnaires and compared with a control group (CG) of standard NVB preservation. RESULTS: There were no conversions to open surgery in either group. The median operative duration in the CD group and the CG was 178 min and 174 min (P = 0.04), blood loss was 300 mL and 200 mL (P = 0.01), and the positive margin rate was 16.1% and 24.1% (P = 0.04), respectively. At a mean follow-up of 5.8 months in the CD group and 28.2 months in the CG, potency rates were 21.1% and 8.8% at 1 month (P = 0.01), and 68.4% and 67.2% at 12 months (P = 1.00), respectively. CONCLUSION: The potency rate was significantly higher in the CD group at 1 month than in the CG, thereafter the rates were similar between the groups. We think that the merit of this technique is in improved visualization of the basal prostatic contour during antegrade NVB dissection, rather than preserving important nerve fibres. This may explain the lower basal positive margin rate in the CD group of 0% vs 5.8% in the CG (P = 0.007).
机译：目的：评估将腹侧前列腺筋膜（LPF）或幕帘剥离（CD）的高切口纳入我们的腹腔镜保留神经根治性前列腺切除术（LNSRP）的技术对恢复效能的影响。病人和方法：总共进行了137例保留LNSRP的双侧神经血管束（NVB），并结合了LPF的幕帘解剖（CD）。使用经过验证的问卷在1、3、6和12个月评估效能，并与标准NVB保存的对照组（CG）进行比较。结果：两组均未转换为开放手术。 CD组和CG的平均手术时间为178分钟和174分钟（P = 0.04），失血量分别为300 mL和200 mL（P = 0.01），阳性切缘率为16.1％和24.1％（P = 0.04）。 CD组平均随访5.8个月，CG组平均随访28.2个月，第1个月的有效率分别为21.1％和8.8％（P = 0.01），第12个月的有效率分别为68.4％和67.2％（P = 1.00）。 ）， 分别。结论：CD组在1个月时的有效率显着高于CG组，此后两组之间的有效率相似。我们认为该技术的优点在于在顺行NVB解剖过程中改善了基础前列腺轮廓的可视化，而不是保留重要的神经纤维。这可以解释CD组的基础正切缘率较低，而CG组为5.8％（P = 0.007）。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号