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根治性前列腺切除术并发症的管理

Management of the complications of radical prostatectomy.

作者信息

Schraudenbach Penner, Bermejo Carlos E

机构信息

Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

出版信息

Curr Urol Rep. 2007 May;8(3):197-202. doi: 10.1007/s11934-007-0006-8.

Abstract

Over the past several years, the morbidity associated with radical prostatectomy has improved due to advances in surgical technique, better understanding of male pelvic anatomy, and improved perioperative care. Despite these advances, patients are still at risk for several complications both intraoperatively and in the postoperative course. These risks include significant blood loss, rectal injury, ureteral injury, thromboembolic events, urinary incontinence, impotence, and a perioperative death rate of less than 1%. These risks should be reviewed and discussed before treating the patient with prostate cancer.

摘要

在过去几年中,由于手术技术的进步、对男性盆腔解剖结构的更好理解以及围手术期护理的改善,与根治性前列腺切除术相关的发病率有所降低。尽管有这些进展,但患者在手术中和术后过程中仍有发生多种并发症的风险。这些风险包括大量失血、直肠损伤、输尿管损伤、血栓栓塞事件、尿失禁、阳痿以及围手术期死亡率低于1%。在治疗前列腺癌患者之前,应回顾并讨论这些风险。

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