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目的:回顾分析保留Retzius间隙的机器人辅助前列腺癌根治术的手术方法和疗效。方法:收集2016年9月1日~2017年2月28日在我中心行该术式的100例患者,年龄(68.4±7.1)岁,初始前列腺特异性抗原为(23.6±4.4)ng/ml。结果:100例手术均成功完成,未改变术式。手术时间为(107±19)min,术中失血量为(65±15)ml。总切缘阳性率为40%。即时尿控率16%,1、2、3个月尿控率分别为82%、95%、95%。结论:保留Retzius间隙的机器人辅助前列腺癌根治术是局限性前列腺癌安全有效的微创外科治疗方法。
OBJECTIVE: To retrospectively analyze the surgical methods and efficacy of robotic assisted radical prostatectomy with Retzius clearance. METHODS: A total of 100 patients with this procedure were enrolled at our center from September 1, 2016 to February 28, 2017. The age (68.4 ± 7.1) years and the initial prostate specific antigen (23.6 ± 4.4) ng / ml . Results: All the 100 surgeries were successfully completed without change of operation. The operation time was (107 ± 19) min and the blood loss during operation was (65 ± 15) ml. The total positive margins of 40%. Immediate urinary control rate of 16%, 1,2,3 months urinary control rates were 82%, 95%, 95%. Conclusion: Robotic-assisted radical prostatectomy with Retzius clearance is a safe and effective minimally invasive surgical approach to localized prostate cancer.