免穿刺免縫扎免夾閉根治性前列腺切除術(shù)

打開文本圖片集

Biopsy-free，stitchless，clipless radical prostatectomy

WANG Shaogang，YANG Chunguang

（Department of Urology，Tongji Hospital of Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430034，China）ABSTRACT：Biopsy，intraoperative suturing of the dorsal vascular complex （DVC） of penile and clipping of the lateral vascular pedicle to control bleeding during radical prostatectomy （RP） are the classic procedures for the diagnosis and treatment of prostate cancer in clinical practice. Based on intrafascial RP and the idea of whole gland conformal separation，a series of “micro-innovations” were carried out，including DVC stitchless and vascular pedicle clipless techniques. They simplified the surgical steps，protected the surrounding structure and facilitated RP，which were preferred for patients with localized prostate cancer.

KEY WORDS：prostate cancer；radical prostatectomy；biopsy-free；stitchless；clipless

摘要：穿刺活檢確診前列腺癌、術(shù)中縫扎陰莖背深靜脈復(fù)合體（DVC）并夾閉側(cè)血管蒂控制出血，是臨床實(shí)踐中前列腺癌診斷治療的經(jīng)典流程。（剩余8503字）