现代泌尿外科杂志2024,Vol.29Issue(10) :848-851.DOI:10.3969/j.issn.1009-8291.2024.10.002

免穿刺免缝扎免夹闭根治性前列腺切除术("大家泌尿网"观看手术视频)

Biopsy-free,stitchless,clipless radical prostatectomy

王少刚 杨春光
现代泌尿外科杂志2024,Vol.29Issue(10) :848-851.DOI:10.3969/j.issn.1009-8291.2024.10.002

免穿刺免缝扎免夹闭根治性前列腺切除术("大家泌尿网"观看手术视频)

Biopsy-free,stitchless,clipless radical prostatectomy

王少刚 1杨春光1
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作者信息

  • 1. 华中科技大学同济医学院附属同济医院泌尿外科,湖北武汉 430034
  • 折叠

摘要

穿刺活检确诊前列腺癌、术中缝扎阴茎背深静脉复合体(DVC)并夹闭侧血管蒂控制出血,是临床实践中前列腺癌诊断治疗的经典流程.华中科技大学同济医学院附属同济医院泌尿外科优选影像典型、病灶局限前列腺癌患者开展免穿刺、免缝扎、免夹闭根治性前列腺切除术(RP),免除穿刺直接行RP促进了诊疗一体化,以全腺体适形分离的思路对筋膜内RP的技术细节进行了免除DVC缝扎和免除侧血管蒂夹闭的一系列"微创新",简化了手术步骤、保护了前列腺周围结构并促进了RP三连胜,是局限期前列腺癌患者的优选方案.

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.

关键词

前列腺癌/根治性前列腺切除术/免穿刺/免缝扎/免夹闭

Key words

prostate cancer/radical prostatectomy/biopsy-free/stitchless/clipless

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基金项目

湖北省重点研发计划项目(2023DJC160)

出版年

2024
现代泌尿外科杂志
西安交通大学

现代泌尿外科杂志

CSTPCD
影响因子:1.106
ISSN:1009-8291
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