腹腔镜和开放式根治性前列腺切除术:我们中心的经验

Q4 Medicine Revista mexicana de urologia Pub Date : 2015-09-01 DOI:10.1016/j.uromx.2015.06.005

P. Cordeiro, S. Novás, L. Honorato, S. Martínez-Couceiro, C. García-Freire

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引用次数: 1

摘要

在圣地亚哥-德孔波斯特拉大学医院(西班牙)，1993年开始实施耻骨后根治性前列腺切除术，2006年开始实施腹腔镜根治性前列腺切除术。我们决定分析我们的结果并比较这两种技术。材料与方法回顾性观察研究纳入2011年1月至2013年9月期间所有腹腔镜前列腺切除术(62例)和2012年所有开放性前列腺切除术(100例)。结果两组患者的功能评分(p = 0.15)和肿瘤评分(p = 0.07)差异无统计学意义，但并发症评分差异有统计学意义(p = 0.04)。腹腔镜手术是目前我们中心最常用的前列腺癌根治性手术。结论腹腔镜根治性前列腺切除术是一项需要长期学习的技术。然而，我们认为这种手术对前列腺癌患者有好处，特别是在疼痛、并发症、功能和肿瘤结果方面。

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Prostatectomía radical laparoscópica y abierta: experiencia en nuestro centro

Aims

At the Complexo Hospitalario Universitario de Santiago de Compostela (Spain), retropubic radical prostatectomy has been performed since 1993 and laparoscopic radical prostatectomy since 2006. We decided to analyze our results and compare the two techniques.

Material and methods

A retrospective observational study was conducted that included all laparoscopic prostatectomies performed within the time frame of January 2011 and September 2013 (62 cases) and all the open prostatectomies performed in 2012 (100 procedures).

Results

We found no statistically significant differences in either the functional (p = 0.15) or oncologic (p = 0.07) results, but there was a statistically significant difference in relation to complications (p = 0.04). The laparoscopic approach is currently the most frequently performed surgical option in our center for the radical approach to prostate cancer.

Conclusions

Laparoscopic radical prostatectomy is a technique with a long learning curve. Nevertheless, we consider that this procedure provides benefits to the patient presenting with prostate cancer, especially with respect to pain, complications, and functional and oncologic results.

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.